John a Gardner, DDS, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

10937 Issued in MO

Legal business name

JOHN A GARDNER, DDS, PC

Practice address

1316 Old 63 S
Ste. 201
Columbia, MO 65201-6092

Phone

(573) 443-2544

Fax

(573) 815-0840

NPI assigned

Jun 11, 2008

Last updated

Jun 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Allen Gardner, DDSNPI 1215083696

Title

Pediatric Dentist/President

Phone

(573) 443-2544

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Allen Gardner, DDS

  • Pediatric Dentistry
  • Columbia, MO
  • NPI 1215083696
  NPD (past) Authorized official
• Christina Lynn Gardner, D.D.S.

  • Dentist
  • Columbia, MO
  • NPI 1306204862
  NPD (past)

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1891955050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 OLD 63 S",
            "address_2": "STE. 201",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016092",
            "telephone_number": "573-443-2544",
            "fax_number": "573-815-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 OLD 63 S",
            "address_2": "STE. 201",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016092",
            "telephone_number": "573-443-2544",
            "fax_number": "573-815-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A GARDNER, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "573-443-2544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "10937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Jobe, LPN
• Kelly Jobe, D.D.S.
• Colleen Jockin
• Eric J Johannesen, D.O.
• Jeff Johanningmeier, C.R.N.A.
• John C Vanstone MD PC
• John Wietholder DMD PC (All American Dental)
• Susan Z. John, MD
• Deborah Ann Johnoff, A.P.R.N.-B.C.
• Johnson Chiropractic & Holistic Health Center, LLC

• Pediatric Dentistry in Columbia, MO
• Providers in Columbia, MO by specialty
• Pediatric Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.