NPIMap

Organization Active NPI

Robert E. Gardner D.D.S., P.a.

  • Dental Clinic/Center
  • Walnut Ridge, AR
National Provider Identifier
1780847251
Registry record updated Jul 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2386 Issued in AR
Legal business name
ROBERT E. GARDNER D.D.S., P.A.
Practice address
1121 W Main St
Walnut Ridge, AR 72476-1000
Phone
(870) 886-2492
NPI assigned
Jul 5, 2008
Last updated
Jul 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2008

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

Authorized official

Name
Dr. Robert E. Gardner, D.D.S.NPI 1932137387
Title
President
Phone
(870) 886-2492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2386 AR Primary

Addresses

Primary practice location

1121 W Main St
Walnut Ridge, AR 72476-1000

Mailing address

1121 W Main St
Walnut Ridge, AR 72476-1000
Phone (870) 886-2492

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215216000000",
    "number": "1780847251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 W MAIN ST",
            "city": "WALNUT RIDGE",
            "state": "AR",
            "postal_code": "724761000",
            "telephone_number": "870-886-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 W MAIN ST",
            "city": "WALNUT RIDGE",
            "state": "AR",
            "postal_code": "724761000",
            "telephone_number": "870-886-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E. GARDNER D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-05",
        "last_updated": "2008-07-05",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-886-2492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "2386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Ridge, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2008; 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.