DR. JAMES THOMAS GARDINER D.M.D.
NPI 1306860655
Dentist - General Practice in Tuscumbia, AL

Active since July 27, 2006PECOS Enrolled
121 E 6TH ST, TUSCUMBIA, AL 35674(256) 383-0377(256) 383-0745 Get Directions Write a Review

NPPES record last updated: February 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James Thomas Gardiner D.m.d. NPPES

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

DR. JAMES THOMAS GARDINER D.M.D. (NPI 1306860655) is an individual general practice provider in Tuscumbia, Alabama, licensed in Alabama (4509) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306860655
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JAMES THOMAS GARDINERCredential: D.M.D.
Location Address121 E 6TH STTuscumbia, AL 35674-2413
Mailing Address121 E 6th StTuscumbia, AL 35674-2413 · (256) 383-0377 · Fax (256) 383-0745
Fax(256) 383-0745
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateFebruary 29, 2012
NPI 1306860655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AL · 4509
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.
121 E 6TH ST, Tuscumbia, AL 35674

Other Identifiers 8

Other71020AL · Bcbs Mi
Other91520AL · Bcbs Al
Other0005433243AL · Aetna
Other858994AL · United Concordia
Other251472AL · Cigna
Other071697AL · Bcbs Tn
Other341309AL · Bcbs Va
Medicaid009207250AL

Accepted 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)

Dr. James Thomas Gardiner D.m.d. 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 35674 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
121 E 6TH ST
TUSCUMBIA, AL 35674
Dentist (Orthodontics and Dentofacial Orthopedics)
121 E 6TH ST
TUSCUMBIA, AL 35674
Dentist (General Practice)
121 E 6TH ST
TUSCUMBIA, AL 35674
Dentist
121 E 6TH ST
TUSCUMBIA, AL 35674
Dentist
121 E 6TH ST
TUSCUMBIA, AL 35674
Dentist (General Practice)
121 E 6TH ST
TUSCUMBIA, AL 35674
Dentist (General Practice)
121 E 6TH ST
TUSCUMBIA, AL 35674
Dentist (General Practice)
121 E 6TH ST
TUSCUMBIA, AL 35674

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 James Gardiner's NPI number?

The NPI number for James Gardiner is 1306860655. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is James Gardiner located?

James Gardiner practices at 121 E 6th St, Tuscumbia, AL 35674. The listed phone number is (256) 383-0377.

What is James Gardiner's specialty?

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

Is James Gardiner enrolled in Medicare?

Yes. James Gardiner is registered in the Medicare PECOS enrollment system.

What insurance does James Gardiner accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and BEST Life and 14 other insurers list James Gardiner 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 James Gardiner was last updated on February 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.