Active NPI
Dennis R Gardner, DDS
- Dentist
- Spring Hill, TN
National Provider Identifier
1346358876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS4246
- Practice address
- 5311 Main Street
Spring Hill, TN 37174-0129 - Phone
- (931) 486-2949
- Fax
- (931) 486-2950
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS4246 | TN | Primary |
Addresses
Primary practice location
5311 Main Street
Spring Hill, TN 37174-0129
Mailing address
5311 Main Street
PO Box 129
Spring Hill, TN 37174-0129
Phone (931) 486-2949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4341731 | Other | TN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS4246 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365984000000",
"number": "1346358876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5311 MAIN STREET",
"address_2": "PO BOX 129",
"city": "SPRING HILL",
"state": "TN",
"postal_code": "371740129",
"telephone_number": "931-486-2949",
"fax_number": "931-486-2950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5311 MAIN STREET",
"city": "SPRING HILL",
"state": "TN",
"postal_code": "371740129",
"telephone_number": "931-486-2949",
"fax_number": "931-486-2950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "DENNIS",
"middle_name": "R",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2013-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS4246",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4341731",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spring Hill, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.