DR. BRENT JACOB GARDNER DDS
NPI 1720497779
Dentist - General Practice in Winslow, AZ
About Dr. Brent Jacob Gardner Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRENT JACOB GARDNER DDS (NPI 1720497779) is an individual general practice provider in Winslow, Arizona, licensed in Arizona (D009054) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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. Brent Jacob Gardner Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 86047 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Brent Gardner's NPI number?
The NPI number for Brent Gardner is 1720497779. It was assigned to this individual provider in the NPPES registry on August 4, 2014.
Where is Brent Gardner located?
Brent Gardner practices at 321 W Second St, Winslow, AZ 86047. The listed phone number is (614) 254-3384.
What is Brent Gardner's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Brent Gardner enrolled in Medicare?
Yes. Brent Gardner is registered in the Medicare PECOS enrollment system.
What insurance does Brent Gardner accept?
Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Brent 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 Brent Gardner was last updated on August 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Brent Jacob Gardner, DDS · NPI 1720497779
General Practice provider in Winslow, Arizona. Individual provider, active in the CMS NPPES registry since August 4, 2014.
## Identity
- **NPI:** 1720497779 (Entity type: Individual)
- **Enumerated:** August 4, 2014
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** D009054 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 321 W SECOND ST, Winslow, AZ 86047-3406
- **Phone:** (614) 254-3384
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** August 4, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1720497779) · Data from the CMS NPPES public registry.