DR. STEPHEN SCOTT GARDNER (NPI# 1871760090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871760090 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN SCOTT GARDNER |
| Credential | D.C. |
| Practice Address |
201 Dartmouth Dr Se Albuquerque NM 87106-2219 |
| Practice Telephone | 5052659656 |
| Practice Fax Number | 5052650296 |
| Mailing Telephone | 5052659656 |
| Mailing Fax Number | 5952650296 |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 722 | NM | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | TYPE 2 NPI | 1275607426 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699728899 | Stephen Daniel Gardner | Dentist | 849 Harbor View Rd, Charleston, SC 29412-5076 | 2006-05-18 |
| 1811992035 | Stephen Ray Gardner | Neurological Surgery | 105 Doctors Dr, Greenville, SC 29605-5608 | 2005-06-15 |
| 1194110262 | Stephen Michael Gardner | Student in an Organized Health Care Education/Training Program | 110 Irving St Nw, Dept. of Emergency Medicine, Washington, DC 20010-3017 | 2015-04-05 |
| 1912260001 | Stephen Michael Gardner | Dentist | 4530 Grand Blvd, New Port Richey, FL 34652-5119 | 2012-06-22 |
| 1871753392 | Stephen T Gardner | Orthopaedic Surgery | Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 | 2008-06-10 |
| Street Address |
201 DARTMOUTH DR SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-2219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275607426 | Nob Hill Hermosa, Incorporated | Chiropractor | 201 Dartmouth Dr Se, Albuquerque, NM 87106-2219 | 2006-11-20 |
| 1467887034 | Luo Integrative Medicine LLC | Acupuncturist | 201 Dartmouth Dr Se, Albuquerque, NM 87106-2219 | 2013-09-13 |
| 1407187404 | Nara Shedd | Massage Therapist | 201 Dartmouth Dr Se, Albuquerque, NM 87106-2219 | 2010-01-15 |
| 1114257219 | Karen Waconda | Massage Therapist | 201 Dartmouth Dr Se, Albuquerque, NM 87106-2219 | 2010-01-12 |
| 1407980063 | James Patrick Rolwing | Chiropractor | 201 Dartmouth Dr Se, Albuquerque, NM 87106-2219 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689295834 | Kevin Chick | Chiropractor | 2800 San Mateo Blvd Ne Ste 109, Albuquerque, NM 87110-3166 | 2020-04-29 |
| 1457994311 | Stella Aubert | Chiropractor | 2800 San Mateo Blvd Ne Ste 105, Albuquerque, NM 87110-3166 | 2019-10-23 |
| 1821630427 | Taylor Lee Eaves | Chiropractor | 7520 Montgomery Blvd Ne Bldg E, Albuquerque, NM 87109-1521 | 2019-10-15 |
| 1003463878 | Alexander David Johnson | Chiropractor | 5308 Delvitto Ct Ne, Albuquerque, NM 87111-1648 | 2019-08-26 |
| 1477028678 | Melanie Beach | Chiropractor | 8001 Wyoming Blvd Ne Ste D4, Albuquerque, NM 87113-2013 | 2018-10-04 |
| 1346768363 | Edwards Chiropractic and Natural Health Center | Chiropractor | 5300 Sequoia Rd Nw Ste 200, Albuquerque, NM 87120-1248 | 2017-08-30 |
| 1043734403 | Backbone Family Chiropractic | Chiropractor | 2901 Juan Tabo Blvd Ne Ste 121b, Albuquerque, NM 87112-1869 | 2017-07-27 |
| 1801345897 | Jacqueline Carlisle | Chiropractor | 5901 Wyoming Blvd Ne Ste V, Albuquerque, NM 87109-3859 | 2016-10-02 |
| 1164879318 | Travis Lee Mason | Chiropractor | 6308 Mesquite Dr Nw, Albuquerque, NM 87120 | 2016-05-18 |
| 1083087472 | Shaylyn Weber | Chiropractor | 2621 Coors Blvd Nw Ste D, Albuquerque, NM 87120-1729 | 2015-11-06 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
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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.