Gardner Chiropractic, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12680 Issued in TX

Legal business name

GARDNER CHIROPRACTIC, PA

Doing business as

Spine and Sport Family Chiropractic

Practice address

3316 Woods Blvd
Tyler, TX 75707-1656

Phone

(903) 787-5925

Fax

(903) 787-5926

NPI assigned

Nov 3, 2014

Organization subpart

No

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

Authorized official

Name

Dr. James Gardner, D.C.NPI 1285041087

Title

President/Secretary/Treasurer

Phone

(903) 787-5925

Specialties & licenses 1

Addresses

Other names 1

• Spine and Sport Family Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Gardner, D.C.

  • Chiropractor
  • Tyler, TX
  • NPI 1285041087
  Medicare reassignment Care Compare group NPD Authorized official
• Patricia Elizabeth Childers, D.C.

  • Chiropractor
  • Tyler, TX
  • NPI 1952792095
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1780089789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 WOODS BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757071656",
            "telephone_number": "903-787-5925",
            "fax_number": "903-787-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 WOODS BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757071656",
            "telephone_number": "903-787-5925",
            "fax_number": "903-787-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT/SECRETARY/TREASURER",
        "authorized_official_telephone_number": "903-787-5925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine and Sport Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Garcia, LMSW
• Maria D Garcia
• Roberto Garcia
• Veronica Garcia
• Garden Estates of Tyler Limited Partnership
• James Gardner, D.C.
• Rhonda Lee Gardner, HIS
• Ipshita Garg, MD
• Christian D Garrett, NP
• Felicia D Garrett, LMSW, LCDC

• Chiropractor in Tyler, TX
• Providers in Tyler, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.