Individual provider Active NPI

David A Gardner, DPM

  • Podiatrist
  • Midlothian, TX
National Provider Identifier
1477514370
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1433 Issued in TX
Practice address
1441 South Midlothian Pkwy
Ste 120
Midlothian, TX 76065-5592
Phone
(972) 775-8553
Fax
(972) 775-8554
NPI assigned
Mar 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1433 TX Primary

Addresses

Primary practice location

1441 South Midlothian Pkwy
Ste 120
Midlothian, TX 76065-5592

Mailing address

1441 South Midlothian Pkwy
Ste 120
Midlothian, TX 76065-5592
Phone (972) 775-8553

Other identifiers 1

IdentifierTypeStateIssuer
153605402MedicaidTX

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1433TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Larry W Dunkerley DPM PC Podiatrist Past Accepting new patients
Visiting Podiatry PLLC Podiatrist PastSince Jun 8, 2015 Accepting new patients
Visiting Podiatry PLLC Podiatrist Past Accepting new patients
David Gardner, DPM, PA Podiatrist PastSince Apr 8, 2009 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1477514370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 SOUTH MIDLOTHIAN PKWY",
            "address_2": "STE 120",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760655592",
            "telephone_number": "972-775-8553",
            "fax_number": "972-775-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 SOUTH MIDLOTHIAN PKWY",
            "address_2": "STE 120",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760655592",
            "telephone_number": "972-775-8553",
            "fax_number": "972-775-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153605402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.