Organization Active NPI

Gardner Chiropractic Office, Inc.

  • Chiropractor
  • Tiffin, OH
National Provider Identifier
1497950703
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
525 Issued in OH
Legal business name
GARDNER CHIROPRACTIC OFFICE, INC.
Practice address
14 W Market St
Tiffin, OH 44883-2720
Phone
(419) 448-0671
Fax
(419) 448-0675
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael J Gardner, D.C.
Title
Ceo
Phone
(419) 448-0671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 525 OH Primary

Addresses

Primary practice location

14 W Market St
Tiffin, OH 44883-2720

Mailing address

14 W Market St
P.O. Box 30
Tiffin, OH 44883-2720
Phone (419) 448-0671

Other identifiers 1

IdentifierTypeStateIssuer
0199548MedicaidOH

National Provider Directory

National Provider Directory

Locations

14 W Market St
Tiffin, OH 44883
Phone (419) 447-3343

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497950703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 W MARKET ST",
            "address_2": "P.O. BOX 30",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448832720",
            "telephone_number": "419-448-0671",
            "fax_number": "419-448-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 W MARKET ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448832720",
            "telephone_number": "419-448-0671",
            "fax_number": "419-448-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER CHIROPRACTIC OFFICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-448-0671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0199548",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiffin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.