Active NPI
James Edward Gardner III, DDS
- General Practice Dentistry
- Spring Hill, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 24433
- Practice address
- 14381 Spring Hill Dr
Spring Hill, FL 34609-8199 - Phone
- (352) 556-0029
- NPI assigned
- Aug 13, 2019
- Last updated
- Apr 5, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190917000627 | FL | Order and Referring Only - Dentist | 2860721891 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24433 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coast Florida P.a. | Current | Accepting new patients | |
| Coast Dental P.a. | Current | Accepting new patients | |
| Coast Florida P.a. | Past | Accepting new patients | |
| Coast Florida P.a. | Past | Accepting new patients | |
| Coast Dental P.a. | Past | 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.
-
- Dentist
- Tampa, FL
- NPI 1992803860
-
- Dentist
- Tampa, FL
- NPI 1730287673
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.