Active NPI
Michael Gardiner, D.C.
- Chiropractor
- Boynton Beach, FL
National Provider Identifier
1346524907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00206500
- Practice address
- 12237 Prairie Dunes Rd
Boynton Beach, FL 33437-6014 - Phone
- (561) 523-0745
- NPI assigned
- Sep 30, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00206500 | NJ | Primary |
Addresses
Primary practice location
12237 Prairie Dunes Rd
Boynton Beach, FL 33437-6014
Mailing address
12237 Prairie Dunes Road
Boynton Beach, FL 33437
Phone (561) 523-0745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00206500 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1346524907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12237 PRAIRIE DUNES ROAD",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "33437",
"telephone_number": "561-523-0745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12237 PRAIRIE DUNES RD",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334376014",
"telephone_number": "561-523-0745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDINER",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-30",
"last_updated": "2011-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00206500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.