Shannon K Gardner, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN25874 Issued in FL

Practice address

1058 N Tamiami TRL Ste 106
Sarasota, FL 34236-2427

Phone

(941) 444-6640

NPI assigned

Jul 8, 2011

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1508153735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 N TAMIAMI TRL STE 106",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342362427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 N TAMIAMI TRL STE 106",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342362427",
            "telephone_number": "941-444-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "SHANNON",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-08",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN25874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Anthony Gardewine
• Jacob Sterling Gardner, MD
• Nancy Marie Gardner, APRN
• Pamela C Gardner
• Sarah Rebecca Gardner, AS
• Wren C Gardner, DDS
• Ashley Garlitz
• Jasmine Cassandra Garner, OTD, OTR/L
• Kyle L Garner, MD
• Carolyn Garofalo, PA-C

• General Practice Dentistry in Sarasota, FL
• Providers in Sarasota, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.