Individual provider Active NPI

Rachel L Gardner, DMD

  • Dentist
  • Chandler, AZ
National Provider Identifier
1780104562
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D010312 Issued in AZ
Practice address
2880 E Germann Rd Ste 13
Chandler, AZ 85286
Phone
(480) 821-5444
NPI assigned
Jun 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 33135 TX
Dentist 122300000X D010312 AZ Primary

Addresses

Primary practice location

2880 E Germann Rd Ste 13
Chandler, AZ 85286

Mailing address

2700 N Hayden Rd Apt 1051
Scottsdale, AZ 85257-1704

Other practice location 1

4949 Hedgcoxe Rd Ste 160
Plano, TX 75024-3902
Phone (214) 387-8880

Other practice location 2

4949 Hedgcoxe Rd Ste 160
Plano, TX 75024-3902
Phone (214) 387-8880

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

LicenseStateTypeSpecialty
D010312AZMDDentist
33135TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Dental Group, LLP General Practice Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1780104562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N HAYDEN RD APT 1051",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852571704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 E GERMANN RD STE 13",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85286",
            "telephone_number": "480-821-5444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4949 Hedgcoxe Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750243902",
            "country_code": "US",
            "telephone_number": "214-387-8880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4949 Hedgcoxe Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750243902",
            "country_code": "US",
            "telephone_number": "214-387-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "RACHEL",
        "middle_name": "L",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "33135",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.