NPIMap

Organization Active NPI

Dr. S. Daniel Gardner DMD LLC

  • General Practice Dentistry
  • Charleston, SC
National Provider Identifier
1811107501
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3668 Issued in SC
Legal business name
DR. S. DANIEL GARDNER DMD LLC
Practice address
849 Harbor View Rd
Charleston, SC 29412-5076
Phone
(843) 795-5565
Fax
(843) 795-2329
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen Daniel Gardner, DMDNPI 1699728899
Title
Ceodentist
Phone
(843) 795-5565

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
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 3668 SC Primary

Addresses

Primary practice location

849 Harbor View Rd
Charleston, SC 29412-5076

Mailing address

849 Harbor View Rd
Charleston, SC 29412-5076
Phone (843) 795-5565

National Provider Directory

National Provider Directory
Tax ID family
Dr S Daniel Gardner DMD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

849 Harbor View Rd
Charleston, SC 29412
Phone (843) 795-5565

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811107501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 HARBOR VIEW RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294125076",
            "telephone_number": "843-795-5565",
            "fax_number": "843-795-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 HARBOR VIEW RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294125076",
            "telephone_number": "843-795-5565",
            "fax_number": "843-795-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. S. DANIEL GARDNER DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CEODENTIST",
        "authorized_official_telephone_number": "843-795-5565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.