Active NPI
Darya Gardner, D.C
- Pediatric Chiropractor
- Lewisville, TX
National Provider Identifier
1740727114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Chiropractor
- License
- 13385
- Practice address
- 570 S Edmonds LN Ste 102
Lewisville, TX 75067-3542 - Phone
- (469) 444-3220
- NPI assigned
- Jan 24, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Chiropractor | 111NP0017X | 13385 | TX | Primary |
Addresses
Primary practice location
570 S Edmonds LN Ste 102
Lewisville, TX 75067-3542
Mailing address
570 S Edmonds LN Ste 102
Lewisville, TX 75067-3542
Phone (469) 444-3220
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13385 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forever Young Chiropractic, LLC | Pediatric Chiropractor | Current | Accepting new patients |
Locations
4305 Windsor Centre Trl
Ste 100
Flower Mound, TX 75028
Phone (469) 444-3220
Organizations & group practices 1
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.
-
- Pediatric Chiropractor
- Flower Mound, TX
- NPI 1386121200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1740727114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 S EDMONDS LN STE 102",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750673542",
"telephone_number": "469-444-3220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 S EDMONDS LN STE 102",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750673542",
"telephone_number": "469-444-3220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "DARYA",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-24",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "TX",
"license": "13385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.