GARDNER CHIROPRACTIC, PA (NPI# 1780089789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780089789 |
| Entity Type | Organization |
| Organization Name | GARDNER CHIROPRACTIC, PA |
| Other Organization Name | SPINE AND SPORT FAMILY CHIROPRACTIC |
| Practice Address |
3316 Woods Blvd Tyler TX 75707-1656 |
| Practice Telephone | 9037875925 |
| Practice Fax Number | 9037875926 |
| Mailing Telephone | 9037875925 |
| Mailing Fax Number | 9037875926 |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2018-03-12 |
| Authorized Official Name | DR. JAMES GARDNER (PRESIDENT/SECRETARY/TREASURER) |
| Authorized Official Telephone | 9037875925 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 12680 | TX | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Spine and Sport Family Chiropractic | Doing Business As Name - Organization |
| Street Address |
3316 WOODS BLVD |
| City | TYLER |
| State | TX |
| Zip Code | 75707-1656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285041087 | James Gardner | Chiropractor | 3316 Woods Blvd, Tyler, TX 75707-1656 | 2014-07-14 |
| 1952792095 | Patricia Elizabeth Childers | Chiropractor | 3316 Woods Blvd, Tyler, TX 75707-1656 | 2015-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063916351 | Veronica Miller | Registered Nurse | 3928 Mobley Lane, Tyler, TX 75707 | 2018-03-21 |
| 1023548187 | Juan Fernando Melgoza Jr. | Specialist/Technologist | 13172 Tx-64, Tyler, TX 75707 | 2017-06-12 |
| 1396291969 | The Center At Grande, LLC | Skilled Nursing Facility | 3219 East Grande Blvd, Tyler, TX 75707 | 2016-09-01 |
| 1730432493 | Michelle Tucker | Clinic/Center | 5011 Troup Hwy Ste 100, Tyler, TX 75707 | 2012-10-18 |
| 1275724569 | Johnson Chiropractic Center | Chiropractor | 5400 University Blvd, 103, Tyler, TN 75707 | 2007-08-05 |
| 1104851096 | Raymond F Jordan | Family Medicine | 12295 Hwy. 64 E, Tyler, TX 75707 | 2006-07-11 |
| 1033514096 | David Comins Wheeler | Counselor | 5875 Grace Ave, Tyler, TX 75707-0006 | 2014-11-01 |
| 1497318968 | Haley Lynn Dominy | Licensed Vocational Nurse | 6028 Grace Ave, Tyler, TX 75707-0007 | 2019-04-19 |
| 1710947957 | Doug Hodde | Family Medicine | 3593 E Grande Blvd, Tyler, TX 75707-1400 | 2006-03-23 |
| 1851839120 | Trinity Clinic | Clinic/Center | 3593 E Grande Blvd, Tyler, TX 75707-1400 | 2017-02-07 |
| Find all providers in zip 75707 | ||||
| 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 |
|---|---|---|---|---|
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1962988402 | Blake Danton Carroll | Chiropractor | 6573 Old Jacksonville Hwy Ste 100, Tyler, TX 75703-0722 | 2018-07-18 |
| 1689180259 | Align Family Chiropractic LLC | Chiropractor | 117 W Hughes Street, Tyler, MN 56178 | 2017-12-19 |
| 1053840553 | Jennifer Golden | Chiropractor | 5348 Old Jacksonville Hwy Apt 1312, Tyler, TX 75703-3366 | 2017-06-08 |
| 1457895237 | William Chad Adcock | Chiropractor | 5524 Old Jacksonville Hwy, Tyler, TX 75703-3378 | 2016-12-13 |
| 1962861138 | Erik Malone | Chiropractor | 140 E 9th St, Tyler, TX 75701-4227 | 2016-02-17 |
| 1487023743 | Tiffany Sarmiento | Chiropractor | 3526 S Broadway Ave, Tyler, TX 75701-8707 | 2015-09-16 |
| 1619368941 | Jimmy Brian Sullivan | Chiropractor | 621 Shelley Park Plz, Tyler, TX 75701-9457 | 2015-02-09 |
| 1285041087 | James Gardner | Chiropractor | 3316 Woods Blvd, Tyler, TX 75707-1656 | 2014-07-14 |
| 1326466046 | Hendricks Chiropractic, P.a. | Chiropractor | 1213 Doctors Dr., Hendricks Chiropractic P.a., Tyler, TX 75701 | 2014-03-31 |
| Find all providers in TYLER | ||||
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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.