Gardner Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

T-02580 Issued in KS

Legal business name

GARDNER CHIROPRACTIC LLC

Practice address

102 E Elm St
Lincoln, KS 67455-2004

Phone

(785) 524-4371

Fax

(785) 524-4375

NPI assigned

Jun 13, 2012

Last updated

Jun 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jacob R Gardner, D.C.NPI 1497050959

Title

Property Manager

Phone

(785) 524-4371

Specialties & licenses 1

Addresses

Other names 1

• Workman Chiropractic Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob Ross Gardner, D.C.

  • Independent Medical Examiner Chiropractor
  • Lincoln, KS
  • NPI 1497050959
  Authorized official Same address or phone

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1457613713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E ELM ST",
            "city": "LINCOLN",
            "state": "KS",
            "postal_code": "674552004",
            "telephone_number": "785-524-4371",
            "fax_number": "785-524-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E ELM ST",
            "city": "LINCOLN",
            "state": "KS",
            "postal_code": "674552004",
            "telephone_number": "785-524-4371",
            "fax_number": "785-524-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PROPERTY MANAGER",
        "authorized_official_telephone_number": "785-524-4371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "T-02580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Workman Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• April Diane Coover, PHARMD
• County of Lincoln (Lincoln County Health Department)
• County of Lincoln (Lincoln County Ambulance)
• Larry Dragone, DO
• G Derril Gwinner, O.D. L.L.C.
• Jacob Ross Gardner, D.C.
• Delaney Hamel, LPC
• Heller Chiropractic LLC
• Grant Prescott Heller, D.C.
• Sara Ann Hlad, PA-C

• Chiropractor in Lincoln, KS
• Providers in Lincoln, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.

Verify at the official NPI Registry.