Active NPI
Orietta F Gardner, DDS
- Dentist
- Baytown, TX
National Provider Identifier
1386904456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 15720
- Practice address
- 515 Park St
Baytown, TX 77520-2637 - Phone
- (281) 427-5170
- Fax
- (281) 422-1551
- NPI assigned
- May 23, 2012
- Sex
- Female
- 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 | 15720 | TX | Primary |
Addresses
Primary practice location
515 Park St
Baytown, TX 77520-2637
Mailing address
515 Park St
Baytown, TX 77520-2637
Phone (281) 427-5170
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 |
|---|---|---|---|
| 15720 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael F. Krynik DDS PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Baytown, TX
- NPI 1427479989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337731200000",
"number": "1386904456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 PARK ST",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775202637",
"telephone_number": "281-427-5170",
"fax_number": "281-422-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 PARK ST",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775202637",
"telephone_number": "281-427-5170",
"fax_number": "281-422-1551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "ORIETTA",
"middle_name": "F",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-23",
"last_updated": "2012-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "15720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baytown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.