Mark William Gardner, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12008698 Issued in IN

Practice address

1239 State Road 229
Batesville, IN 47006-6804

Phone

(812) 934-6166

NPI assigned

Mar 31, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Childrens Dental Care PC

  dba Mark W Gardner DDS MS

  • Pediatric Dentistry
  • Batesville, IN
  • NPI 1093809253
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619938370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 STATE ROAD 229",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470066804",
            "telephone_number": "812-934-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 STATE ROAD 229",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470066804",
            "telephone_number": "812-934-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MARK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12008698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Aaron Frey, R.D.
• Jodi Fry, OTR
• Theresa M Fullenkamp, FNP
• Manuel G Garcia, M.D.
• Noel G Garcia, D.D.S.
• Robert James Garrett, CAPRC 1
• Callie Anne Gartenman, BCBA
• Jon F Geers, MD
• Genoa Healthcare LLC
• Craig W George, DC

• Pediatric Dentistry in Batesville, IN
• Providers in Batesville, IN by specialty
• Pediatric Dentistry in Indiana

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.