DR. CHAD MARTIN GARDNER (NPI# 1871694257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871694257 |
| Entity Type | Individual |
| Full Name | DR. CHAD MARTIN GARDNER |
| Credential | DDS |
| Practice Address |
268 Harrington Ave Bastrop LA 71220-3026 |
| Practice Telephone | 3182815972 |
| Practice Fax Number | 3182819964 |
| Mailing Telephone | 3182815972 |
| Mailing Fax Number | 3182819964 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5638 | LA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1856380 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538559984 | Chad Gardner | Social Worker | 1173 S Washburn St, Suite H, Oshkosh, WI 54904-8053 | 2015-01-23 |
| Street Address |
268 HARRINGTON AVE |
| City | BASTROP |
| State | LA |
| Zip Code | 71220-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518044783 | Donald Mouton Quinn IIi | Dentist | 268 Harrington Ave, Bastrop, LA 71220-3026 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952935983 | Broken Wings Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2869 New Monroe Road, Bastrop, LA 71220 | 2020-02-28 |
| 1275002685 | Hulin Urgent Care Services, LLC | Clinic/Center | 2100 East Madison Avenue, Bastrop, LA 71220 | 2018-11-14 |
| 1023594975 | Shuntel Ramona Johnson | Counselor | 8891 Holley Farm Road, Bastrop, LA 71220 | 2018-07-13 |
| 1376050526 | Kevin Hubbard | Case Manager/Care Coordinator | 9409 Willow Dr, Bastrop, LA 71220 | 2018-01-09 |
| 1265957229 | Alma Holmes | Behavioral Analyst | 644 E. Jefferson Ave, Bastrop, LA 71220 | 2017-08-10 |
| 1427570886 | Jennifer Rochelle Glosson | Counselor | 410 S. Franklin St, Bastrop, LA 71220 | 2017-07-07 |
| 1386179307 | Total Divine Care LLC | Community/Behavioral Health | 1840 North Washington Street, Bastrop, LA 71220 | 2017-04-27 |
| 1538609524 | Tyrra Watkins | Counselor | 10599 Parkwood Dr, Bastrop, LA 71220 | 2017-02-24 |
| 1528502119 | Oatie Brooks | Counselor | 813 Mccreight Street, Bastrop, LA 71220 | 2016-12-15 |
| 1487197810 | Valencia Reese | Counselor | 10434 Boswell St, Bastrop, LA 71220 | 2016-12-03 |
| Find all providers in zip 71220 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881101301 | The Dentists Pllc | Dentist | 301 Highway 71 W Ste 200, Bastrop, TX 78602 | 2018-01-05 |
| 1760902902 | Paula Woonji Noh | Dentist | 715 Old Austin Hwy Ste 400, Bastrop, TX 78602-5165 | 2017-06-20 |
| 1588045843 | Sinan Abdulkadir | Dentist | 717 Highway 71 W, Suite 300, Bastrop, TX 78602-4063 | 2015-06-12 |
| 1144578691 | One Smile Dental Pllc | Dentist | 201 Childers Dr Ste 117, Bastrop, TX 78602-4155 | 2012-08-15 |
| 1093954521 | Signature Smiles of Bastrop | Dentist | 715 Old Austin Highway, Suite 400, Bastrop, TX 78602 | 2009-02-06 |
| 1114128139 | Douglas K Keller IIi | Dentist | 312 Durham, Bastrop, LA 71220-4502 | 2007-05-29 |
| 1740401181 | John Paul Garrett | Dentist | 917 Lynwood Ave, Bastrop, LA 71220-4742 | 2007-05-02 |
| 1730300864 | Carl Tilghman Turpin Jr. | Dentist | 2018 East Madison Ave., Bastrop, LA 71220-4035 | 2007-05-02 |
| 1962527481 | James Farris Adjan | Dentist | 696 Highway 71 W, Suite 4d, Bastrop, TX 78602-4009 | 2007-03-21 |
| 1093841744 | Joseph H. Emmert | Dentist | 301 Sh 71 W Ste 200, Bastrop, TX 78602-4111 | 2007-02-26 |
| Find all providers in BASTROP | ||||
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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.