Active NPI
Gregory Taylor Gendron, DDS
- Dentist
- Martinsville, VA
National Provider Identifier
1003872326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401004635
- Practice address
- 7 Cleveland Ave
Martinsville, VA 24112 - Phone
- (226) 638-7626
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401004635 | VA | Primary |
Addresses
Primary practice location
7 Cleveland Ave
Martinsville, VA 24112
Mailing address
7 Cleveland Ave
Martinsville, VA 24112
Phone (226) 638-7626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7806981 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401004635 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1003872326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 CLEVELAND AVE",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "24112",
"telephone_number": "226-638-7626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 CLEVELAND AVE",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "24112",
"telephone_number": "226-638-7626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENDRON",
"first_name": "GREGORY",
"middle_name": "TAYLOR",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401004635",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7806981",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Martinsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.