The Gardner Clinic of Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH3635 Issued in FL

Legal business name

THE GARDNER CLINIC OF CHIROPRACTIC

Practice address

418 94TH Ave N
St Petersburg, FL 33702-2522

Phone

(727) 577-0988

Fax

(727) 576-7994

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles Henry Gardner, D.C.NPI 1932237724

Title

Owner

Phone

(727) 577-0988

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Charles Henry Gardner, D.C.

  • Chiropractor
  • St Petersburg, FL
  • NPI 1932237724
  NPD (past) Authorized official

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1619005311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 94TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022522",
            "telephone_number": "727-577-0988",
            "fax_number": "727-576-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 94TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022522",
            "telephone_number": "727-577-0988",
            "fax_number": "727-576-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GARDNER CLINIC OF CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-577-0988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.