Individual provider Active NPI

Lana Gardi, DDS

  • General Practice Dentistry
  • Dublin, CA
National Provider Identifier
1821435397
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901022540 Issued in MI
Practice address
4920 Dublin Blvd
Ste 200
Dublin, CA 94568-3169
Phone
(925) 551-6464
NPI assigned
May 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 48271 CA
General Practice Dentistry 1223G0001X 2901022540 MI Primary

Addresses

Primary practice location

4920 Dublin Blvd
Ste 200
Dublin, CA 94568-3169

Mailing address

4920 Dublin Blvd
Ste 200
Dublin, CA 94568-3169
Phone (925) 551-6464

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
2901022540MIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1821435397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 DUBLIN BLVD",
            "address_2": "STE 200",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945683169",
            "telephone_number": "925-551-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 DUBLIN BLVD",
            "address_2": "STE 200",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945683169",
            "telephone_number": "925-551-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDI",
        "first_name": "LANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-24",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48271",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.