Organization Active NPI

Gardner Chiropractic: Family and Wellness Center, PLLC

  • Chiropractor
  • Round Rock, TX
National Provider Identifier
1861891772
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12649 Issued in TX
Legal business name
GARDNER CHIROPRACTIC: FAMILY AND WELLNESS CENTER, PLLC
Practice address
3000 Joe Dimaggio Blvd
Ste 54
Round Rock, TX 78665-3922
Phone
(512) 387-3308
Fax
(512) 387-3309
NPI assigned
Aug 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Authorized official

Name
Dr. Jennifer Anne Gardner McMorris, D.C.NPI 1104432426
Title
Owner/Chiropractor
Phone
(512) 387-3308

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 12649 TX Primary

Addresses

Primary practice location

3000 Joe Dimaggio Blvd
Ste 54
Round Rock, TX 78665-3922

Mailing address

3000 Joe Dimaggio Blvd
Ste 54
Round Rock, TX 78665-3922
Phone (512) 387-3308

National Provider Directory

National Provider Directory

Locations

3000 Joe Dimaggio Blvd
Ste 54
Round Rock, TX 78665
Phone (512) 387-3308

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": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1861891772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 JOE DIMAGGIO BLVD",
            "address_2": "STE 54",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653922",
            "telephone_number": "512-387-3308",
            "fax_number": "512-387-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 JOE DIMAGGIO BLVD",
            "address_2": "STE 54",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653922",
            "telephone_number": "512-387-3308",
            "fax_number": "512-387-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER CHIROPRACTIC: FAMILY AND WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "GARDNER MCMORRIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "512-387-3308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.