Active NPI
John Michael Gardner, DC
- Chiropractor
- Lexington, SC
National Provider Identifier
1851322036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 878
- Practice address
- 165 Spring Tyme LN
Lexington, SC 29073-7275 - Phone
- (803) 785-7885
- Fax
- (803) 791-4966
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 878 | SC | Primary |
Addresses
Primary practice location
165 Spring Tyme LN
Lexington, SC 29073-7275
Mailing address
165 Spring Tyme LN
Lexington, SC 29073-7275
Phone (803) 785-7885
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
| License | State | Type | Specialty |
|---|---|---|---|
| 878 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gardner Wellness Clinic | Chiropractor | 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.
-
- Chiropractor
- Lexington, SC
- NPI 1396773040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851322036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 SPRING TYME LN",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290737275",
"telephone_number": "803-785-7885",
"fax_number": "803-791-4966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 SPRING TYME LN",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290737275",
"telephone_number": "803-785-7885",
"fax_number": "803-791-4966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.