DR. JOHN ALLEN GARDNER (NPI# 1215083696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215083696 |
| Entity Type | Individual |
| Full Name | DR. JOHN ALLEN GARDNER |
| Credential | DDS |
| Practice Address |
1316 Old 63 South Suite 201 Columbia MO 65201-6045 |
| Practice Telephone | 5734432544 |
| Practice Fax Number | 5738150840 |
| Mailing Telephone | 5734432544 |
| Mailing Fax Number | 5738150840 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2008-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
10937 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801373022 | John Gardner | Pharmacist | 1280 E Stringham Ave, Salt Lake City, UT 84106-2490 | 2018-07-20 |
| 1861850380 | John Gardner | Pharmacist | 3735 Franklin Rd Sw, Roanoke, VA 24014-2260 | 2016-01-29 |
| 1770826299 | John Anthony Gardner II | Anesthesiology | 1112 S Main St Ste 7, Franklin, KY 42134-2322 | 2013-04-03 |
| 1588977615 | John Willard Gardner | Preventive Medicine | 5805 Dimes Rd, Derwood, MD 20855-1728 | 2010-07-18 |
| 1447578026 | John Gardner | Nurse Practitioner | 44 S 29th St, Newark, OH 43055-2564 | 2010-05-06 |
| 1982806337 | John Clayton Gardner | Independent Medical Examiner | 1609 W 16th St, Parker, AZ 85344-6209 | 2007-06-05 |
| 1720120900 | John Kevin Gardner | Prosthetist | 2108 E 3rd St Ste 100, Chattanooga, TN 37404-2623 | 2007-02-13 |
| 1700942539 | John J. Gardner | Optometrist | 9400 S Roberts Rd, Hickory Hills, IL 60457-2326 | 2006-12-28 |
| 1114097581 | John D Gardner | Dentist | 1210 Ward Ave, Caruthersville, MO 63830 | 2006-11-09 |
| 1508954421 | John Wesley Gardner Iv | Registered Nurse | 1080 Marshall Way, Marshall Hospital, Placerville, CA 95667 | 2006-10-10 |
| Street Address |
1316 OLD 63 SOUTH SUITE 201 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-6045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437668126 | Como Pediatric Dentistry LLC | Dentist | 1316 Old 63 S Ste 201, Columbia, MO 65201-6092 | 2017-09-25 |
| 1528585924 | Carolina Orthodontics and Pediatric Dentistry | Dentist | 921 Longtown Rd Ste B, Columbia, SC 29229-9498 | 2017-08-25 |
| 1154733509 | Carol Nixon | Dentist | 927 N. James Campbell Blvd, Suite 106, Bldg 1, Columbia, TN 38401 | 2014-05-20 |
| 1700151768 | Columbia Dentistry for Children | Dentist | 1000 W Nifong Blvd Ste 6-130, Columbia, MO 65203-5607 | 2012-03-09 |
| 1598094138 | Northeast Childrens Dentistry | Dentist | 147 Summit Centre Dr., Columbia, SC 29229 | 2009-12-10 |
| 1427176916 | B. Casey Crafton | Dentist | 10380 Old Columbia Rd Ste 102, Columbia, MD 21046-2005 | 2007-03-26 |
| 1639259047 | Robert Dale Coyle | Dentist | 1000 N Nifong, Bldg 6 Suite 130, Columbia, MO 65203 | 2006-10-17 |
| 1770678526 | Heather Huntley Owens | Dentist | 1706 Wedgewood Dr, Columbia, TN 38401-3527 | 2006-10-04 |
| 1770513293 | Lori Henderson | Dentist | 1506 Chapel Hill Rd Ste B, Columbia, MO 65203-5504 | 2006-07-03 |
| 1306891833 | Felicia L. Goins | Dentist | 7701 Trenholm Road Ext, Columbia, SC 29223-1725 | 2006-05-23 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.