Individual provider Active NPI

Tommy L Gardner, BS, BIOCHEMISTRY

  • Biochemist
  • Santa Fe, NM
National Provider Identifier
1659616787
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
BiochemistTaxonomy code 246ZB0500X
Practice address
54 Avenida Aldea
Santa Fe, NM 87507-9449
Phone
(505) 919-8819
NPI assigned
Nov 29, 2012
Last updated
May 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Homeopath 175L00000X EXEMPT NM
Biochemist 246ZB0500X Primary

Addresses

Primary practice location

54 Avenida Aldea
Santa Fe, NM 87507-9449

Mailing address

223 N Guadalupe St # 469
Santa Fe, NM 87501-1868
Phone (505) 919-8819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
EXEMPTNMMDHomeopath

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1659616787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N GUADALUPE ST # 469",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011868",
            "telephone_number": "505-919-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 AVENIDA ALDEA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875079449",
            "telephone_number": "505-919-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "TOMMY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "BS, BIOCHEMISTRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-29",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": "NM",
            "license": "EXEMPT",
            "primary": false
        },
        {
            "code": "246ZB0500X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Biochemist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.