JOHN D GARDNER D.D.S.
NPI 1114097581
Dentist - General Practice in Caruthersville, MO

Q: What is John Gardner's NPI number?

The NPI number for John Gardner is 1114097581. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Q: What is John Gardner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for John Gardner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 09, 2006PECOS Enrolled

1210 WARD AVE, CARUTHERSVILLE, MO 63830(573) 333-0505(573) 333-0512 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About John D Gardner D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN D GARDNER D.D.S. (NPI 1114097581) is an individual general practice provider in Caruthersville, Missouri, licensed in Missouri (MO13104) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114097581

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJOHN D GARDNERCredential: D.D.S.

Location Address1210 WARD AVECaruthersville, MO 63830

Mailing Address1210 Ward Ave, P.o. Box 1120Caruthersville, MO 63830

Phone(573) 333-0505

Fax(573) 333-0512

Sole ProprietorNo

Enumeration DateNovember 9, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1114097581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MO · MO13104

Definition

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.

1210 WARD AVE, Caruthersville, MO 63830

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest Insurance Company-MO.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John D Gardner D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63830 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Gardner's NPI number?

The NPI number for John Gardner is 1114097581. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is John Gardner located?

John Gardner practices at 1210 Ward Ave, Caruthersville, MO 63830. The listed phone number is (573) 333-0505.

What is John Gardner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is John Gardner enrolled in Medicare?

Yes. John Gardner is registered in the Medicare PECOS enrollment system.

What insurance does John Gardner accept?

Health plans from DentaQuest Insurance Company-MO list John Gardner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Gardner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.