Ryan Gardner

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00202221 Issued in CO

Practice address

5430 Tutt Blvd
Colorado Springs, CO 80922-2515

Phone

(719) 380-0141

NPI assigned

Jun 16, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• North Powers Modern Dentistry, LLP

  dba North Powers Modern Dentistry

  • General Practice Dentistry
  • Colorado Springs, CO
  • NPI 1861774184
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1427462696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 TUTT BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 TUTT BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222515",
            "telephone_number": "719-380-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00202221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan Gardner, PT
• Elizabeth Gardner
• Harry Gardner, LPC
• Paul Jeffrey Gardner, MS ATC
• Robert Cheek Gardner, M.D.
• Saleena Gardner
• Molly Matheson Gargala, RXN,NP
• Quinn Oakman Garland
• Timothy Garland
• Nicole Mary Garlington-Doughty, EFDA, RDH

• Dentist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.

Verify at the official NPI Registry.