Dr. Gardner D.D.S. & Associates, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

30020068 Issued in OH

Legal business name

DR. GARDNER D.D.S. & ASSOCIATES, LLC

Doing business as

Gateway General Dentistry

Practice address

112 Jefferson Ave
Suite 002
Columbus, OH 43215-1861

Phone

(614) 262-8180

Fax

(614) 262-2883

NPI assigned

Jul 15, 2010

Last updated

Jul 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert W. Gardner, D.D.S.NPI 1295839470

Title

Owner

Phone

(614) 262-8180

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gateway General Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert William Gardner, DDS

  • General Practice Dentistry
  • Columbus, OH
  • NPI 1295839470
  Authorized official Same address or phone

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1659684983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 JEFFERSON AVE",
            "address_2": "SUITE 002",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151861",
            "telephone_number": "614-262-8180",
            "fax_number": "614-262-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 JEFFERSON AVE",
            "address_2": "SUITE 002",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151861",
            "telephone_number": "614-262-8180",
            "fax_number": "614-262-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GARDNER D.D.S. & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-262-8180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30020068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0978483",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway General Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Columbus, OH
• Providers in Columbus, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.