Douglas Scott Gardner, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12013430A Issued in IN

Practice address

324 W 2ND St
Seymour, IN 47274-2199

Phone

(812) 522-8608

NPI assigned

Jul 6, 2020

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• D Matthew Pierce DDS LLC

  • General Practice Dentistry
  • Seymour, IN
  • NPI 1275920761
  NPD (past)
• Donald a. Cummings, D.D.S., P.C.

  • General Practice Dentistry
  • Seymour, IN
  • NPI 1235341611
  NPD (past)

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1659998730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3872 NEW BATTLE LN",
            "city": "BARGERSVILLE",
            "state": "IN",
            "postal_code": "461069610",
            "telephone_number": "317-910-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W 2ND ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742199",
            "telephone_number": "812-522-8608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "857 S Auto Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474015447",
            "country_code": "US",
            "telephone_number": "812-339-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "DOUGLAS",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12013430A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Frey, MD
• Jesse Lee Frick
• John Michael Frische, O.D.
• John Lowrie Fye, MD
• Derek L Garcia, DMD
• Jaclyn Gatesy
• Heather R. Gehring, MSOTR
• Jennifer Lynn Genda, PTA
• General & GYN Surgery, PC
• Jill Gerth, CCHW,CAPRC

• General Practice Dentistry in Seymour, IN
• Providers in Seymour, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.