Individual provider Active NPI

James Edward Gardner III, DDS

  • General Practice Dentistry
  • Spring Hill, FL
National Provider Identifier
1679129878
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24433 Issued in FL
Practice address
14381 Spring Hill Dr
Spring Hill, FL 34609-8199
Phone
(352) 556-0029
NPI assigned
Aug 13, 2019
Last updated
Apr 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24433 FL Primary

Addresses

Primary practice location

14381 Spring Hill Dr
Spring Hill, FL 34609-8199

Mailing address

5001 Bridge St Apt 2602
Tampa, FL 33611-3252

Other practice location 1

3150 Tampa Rd Ste 4
Oldsmar, FL 34677-2291
Phone (727) 787-0202

Other practice location 2

916 Curlew Rd
Dunedin, FL 34698-1901
Phone (727) 736-1777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190917000627 FL Order and Referring Only - DentistPractitioner - Dentist 2860721891

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24433FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Florida P.a. CurrentSince Jun 22, 2021 Accepting new patients
Coast Dental P.a. CurrentSince Jun 22, 2021 Accepting new patients
Coast Florida P.a. PastSince Aug 1, 2019 Accepting new patients
Coast Florida P.a. PastSince Jun 22, 2021 Accepting new patients
Coast Dental P.a. PastSince Apr 11, 2021 Accepting new patients

Locations

916 Curlew Rd
Dunedin, FL 34698
Phone (727) 736-1777

14381 Spring Hill Dr
Spring Hill, FL 34609
Phone (352) 556-0029

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1679129878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 BRIDGE ST APT 2602",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336113252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14381 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346098199",
            "telephone_number": "352-556-0029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3150 Tampa Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Oldsmar",
            "state": "FL",
            "postal_code": "346772291",
            "country_code": "US",
            "telephone_number": "727-787-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "916 Curlew Rd",
            "address_purpose": "LOCATION",
            "city": "Dunedin",
            "state": "FL",
            "postal_code": "346981901",
            "country_code": "US",
            "telephone_number": "727-736-1777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-13",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "24433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.