Organization Active NPI

Joel P. Gardner, DMD, PS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mount Vernon, WA
National Provider Identifier
1922959105
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
JOEL P. GARDNER, DMD, PS
Practice address
1210 E Division St
Mount Vernon, WA 98274-4102
Phone
(360) 336-5464
NPI assigned
Feb 4, 2026
Last updated
May 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
JOEL P. GARDNER, DMD, PSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Alejandra Sandoval
Title
Office Manager
Phone
(360) 336-5464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1210 E Division St
Mount Vernon, WA 98274-4102

Mailing address

651 SE Maylor St
Oak Harbor, WA 98277-5413
Phone (360) 336-5464

Other practice location 1

7204 267th St NW Ste 103
Stanwood, WA 98292-6271
Phone (360) 629-5382

Other practice location 2

651 SE Maylor St
Oak Harbor, WA 98277-5413
Phone (360) 675-8640

National Provider Directory

National Provider Directory
Tax ID family
Joel P Gardner DMD PS3 organizations share this tax ID, including this one
Part of
Joel P Gardner DMD PS

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1210 E Division St
Mount Vernon, WA 98274
Phone (360) 336-5464

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1770163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1922959105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 SE MAYLOR ST",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775413",
            "telephone_number": "360-336-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 E DIVISION ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744102",
            "telephone_number": "360-336-5464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7204 267th St NW Ste 103",
            "address_purpose": "LOCATION",
            "city": "Stanwood",
            "state": "WA",
            "postal_code": "982926271",
            "country_code": "US",
            "telephone_number": "360-629-5382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "651 SE Maylor St",
            "address_purpose": "LOCATION",
            "city": "Oak Harbor",
            "state": "WA",
            "postal_code": "982775413",
            "country_code": "US",
            "telephone_number": "360-675-8640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOEL P. GARDNER, DMD, PS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOEL P. GARDNER, DMD, PS",
        "enumeration_date": "2026-02-04",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "ALEJANDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-336-5464"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.