Organization Active NPI

Gardner Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Springfield, MO
National Provider Identifier
1538709514
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
GARDNER ORTHODONTICS
Practice address
1246 E Walnut Lawn St
Springfield, MO 65804-4202
Phone
(417) 719-7862
NPI assigned
Jan 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Authorized official

Name
Thomas L. Gardner, DMDNPI 1063811644
Title
DMD - Owner
Phone
(480) 703-8198

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1246 E Walnut Lawn St
Springfield, MO 65804-4202

Mailing address

1246 E Walnut Lawn St
Springfield, MO 65804-4202
Phone (417) 719-7862

National Provider Directory

National Provider Directory

Locations

518 Hollyberry Ln
Ste 105
Orange Park, FL 32065

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1538709514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 E WALNUT LAWN ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044202",
            "telephone_number": "417-719-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 E WALNUT LAWN ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044202",
            "telephone_number": "417-719-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DMD - OWNER",
        "authorized_official_telephone_number": "480-703-8198",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.