Organization Active NPI

Gardner & Gardner DDS, Inc.

  • General Practice Dentistry
  • Santa Ana, CA
National Provider Identifier
1609298835
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60485 Issued in CA
Legal business name
GARDNER & GARDNER DDS, INC.
Doing business as
Santa Ana Smiles Dentistry
Practice address
1617 E 1St St
Suite a
Santa Ana, CA 92701-6385
Phone
(714) 617-5048
Fax
(714) 617-5041
NPI assigned
Jan 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Dr. Michael Dean Gardner, DDS
Title
President
Phone
(714) 617-5048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 60485 CA Primary

Addresses

Primary practice location

1617 E 1St St
Suite a
Santa Ana, CA 92701-6385

Mailing address

1617 E 1St St
Suite a
Santa Ana, CA 92701-6385
Phone (714) 617-5048

Other names 1

  • Santa Ana Smiles Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gardner Gardner DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1609298835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 E 1ST ST",
            "address_2": "SUITE A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927016385",
            "telephone_number": "714-617-5048",
            "fax_number": "714-617-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 E 1ST ST",
            "address_2": "SUITE A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927016385",
            "telephone_number": "714-617-5048",
            "fax_number": "714-617-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER & GARDNER DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-617-5048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Ana Smiles Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.