Gregory Allen Gardner, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DEN.00202697 Issued in CO

Practice address

8223 S. Quebec St
Suite O
Centennial, CO 80112

Phone

(720) 277-5930

NPI assigned

Jul 5, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lakewood Grin Ortho, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lakewood, CO
  • NPI 1740028455
  NPD (past)
• Pedo Two, Prof. LLC

  • Pediatric Dentistry
  • Lakewood, CO
  • NPI 1114166865
  NPD (past)

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1831454917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3468 NEZ PERCE TRL",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093552",
            "telephone_number": "949-836-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8223 S. QUEBEC ST",
            "address_2": "SUITE O",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "80112",
            "telephone_number": "720-277-5930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7475 W Colfax Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802145425",
            "country_code": "US",
            "telephone_number": "720-512-2879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6222 NE 74th St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98115",
            "country_code": "US",
            "telephone_number": "206-543-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6222 NE 74th St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98115",
            "country_code": "US",
            "telephone_number": "206-543-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "GREGORY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60749021",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "DEN.00202697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Werner Garcia, MA, LPC
• Felicite Garcia
• Jade Garcia
• Veronia Guirguis Garcia
• Erika Gardner
• Natalie Ann Gardner
• Jessica Garel
• Marc Alan Garfinkel, D.C.
• N Mary Beth Garland, BA
• Kimberly Elaine Garrison, PSY.D.,

• Pediatric Dentistry in Centennial, CO
• Providers in Centennial, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.