Charles Henry Gardner, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH3635 Issued in FL

Practice address

418 94TH Ave N
St Petersburg, FL 33702-2522

Phone

(727) 577-0988

Fax

(727) 576-7994

NPI assigned

Mar 1, 2007

Last updated

Mar 21, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1979

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Gardner Clinic of Chiropractic

  • Chiropractor
  • St Petersburg, FL
  • NPI 1619005311
  NPD (past) Authorized official
• Laura a Weller DC PA

  • Chiropractor
  • St Petersburg, FL
  • NPI 1972618569
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1932237724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 94TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022522",
            "telephone_number": "727-577-0988",
            "fax_number": "727-576-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 94TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022522",
            "telephone_number": "727-577-0988",
            "fax_number": "727-576-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "CHARLES",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Allen Garcia, M.D.
• Rina Garcia, APRN
• Ronald Torregosa Garcia, M.D.
• Vicente Garcia, MD
• Virginia Garcia, M. D.
• Christina Gardner
• Daniel P Gardner, M.S., CCC-A
• Lauren Michelle Gardner, PH.D.
• Ashley Garel-Bernard, DDS
• Eddie Marcelo Gares, BS

• Chiropractor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.