Robert L Gardino, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS3179 Issued in TN

Practice address

1721 Kirby Pkwy
Memphis, TN 38120-4367

Phone

(901) 624-7474

Fax

(901) 624-7873

NPI assigned

Nov 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598837908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 KIRBY PKWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204367",
            "telephone_number": "901-624-7474",
            "fax_number": "901-624-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 KIRBY PKWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204367",
            "telephone_number": "901-624-7474",
            "fax_number": "901-624-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDINO",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS3179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Antonio Garcia, DO
• Aileen Garciagayoso, MD
• Kalyani Vaibhav Garde, M.S. OTR/L
• Kimberly Gardella, PHARMD
• Abigail Anne Gardiner
• Dominique V Gardner, MD
• James Eric Gardner, MD
• John Harvey Gardner, MD
• Melissa Blair Gardner, COTA/L
• Tonia Elizabeth Gardner, M.D.

• General Practice Dentistry in Memphis, TN
• Providers in Memphis, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.