Jonathan Gardner, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4032DC Issued in SC

Practice address

1810 Airport Blvd
Cayce, SC 29033-1807

Phone

(803) 796-3750

Fax

(803) 796-5202

NPI assigned

May 7, 2015

Last updated

Oct 4, 2023By the provider in NPPES

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 SC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chiropractic Lifestyles, LLC

  • Chiropractor
  • Cayce, SC
  • NPI 1235517525
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1487032603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 AIRPORT BLVD",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290331807",
            "telephone_number": "803-796-3750",
            "fax_number": "803-796-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 AIRPORT BLVD",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290331807",
            "telephone_number": "803-796-3750",
            "fax_number": "803-796-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "JONATHAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-07",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4032DC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Geoffrey Foreman
• Payton Blair Foust, MD
• Keya Williams Fowler, M.A.
• Justin Tyler Fox, DO
• Jeffrey Andrew Gage, LMSW
• Phillip Reid Gardner
• Frederick Michael Gass
• Mikelle Gaston, APRN
• Tiffany Gethers, FNP-C
• Chasity Darcell Gilliam

• Chiropractor in Cayce, SC
• Providers in Cayce, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.