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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIM L. GARDNER D.D.S.
NPI 1609879188
Dentist in Chardon, OH

Active since May 27, 2005PECOS Enrolled
13346 RAVENNA RD, STE 5, CHARDON, OH 44024(440) 286-9531 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kim L. Gardner D.d.s. NPPES

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

KIM L. GARDNER D.D.S. (NPI 1609879188) is an individual dentist in Chardon, Ohio, licensed in Ohio (16747) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609879188
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKIM L. GARDNERCredential: D.D.S.
Location Address13346 RAVENNA RD, STE 5Chardon, OH 44024-7030
Mailing Address13346 Ravenna Rd, Ste 5Chardon, OH 44024-7030 · (440) 286-9531
Phone(440) 286-9531
Sole ProprietorNo
Enumeration DateMay 27, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1609879188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OH · 16747
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
13346 RAVENNA RD, Chardon, OH 44024
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Ohio.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)

Kim L. 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 44024 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 2

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

DR. ALISON MARIE ALLIN DDS
Dentist (General Practice)
13346 RAVENNA RD
CHARDON, OH 44024
Geauga County (440) 286-9531
ALISON ALLIN DDS INC
Dentist (General Practice)
13346 RAVENNA RD
CHARDON, OH 44024
Geauga County (440) 286-9531

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 Kim Gardner's NPI number?

The NPI number for Kim Gardner is 1609879188. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Kim Gardner located?

Kim Gardner practices at 13346 Ravenna Rd Ste 5, Chardon, OH 44024. The listed phone number is (440) 286-9531.

What is Kim Gardner's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kim Gardner enrolled in Medicare?

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

What insurance does Kim Gardner accept?

Health plans from Delta Dental of Ohio list Kim 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 Kim Gardner was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.