NPIMap

Individual provider Active NPI

Timothy Glenn Gentner, M.D.

  • Family Medicine Physician
  • Carson City, NV
National Provider Identifier
1073576609
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7494 Issued in NV
Practice address
1200 Mountain St
Carson City, NV 89703-3821
Phone
(775) 882-1324
Fax
(775) 882-3859
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7494 NV Primary

Addresses

Primary practice location

1200 Mountain St
Carson City, NV 89703-3821

Mailing address

1200 Mountain St
Carson City, NV 89703-3821
Phone (775) 882-1324

Other identifiers 1

IdentifierTypeStateIssuer
002013133MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051122000720 NV Practitioner - Family Practice 7214957018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nevada School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carson Medical Group Professional CorporationGroup PAC ID 4183520778, 49 clinicians

Practice addresses (Care Compare)

1200 Mountain St
Carson City, NV 89703-3821

1946 Old Hot Springs Rd
Carson City, NV 89706-0674
Phone (775) 882-1324

925 Ironwood Dr
Suite 2111
Minden, NV 89423-5180
Phone (775) 782-5330

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Reno, NV, CCN 297022
  • Battle Born Home Health LLC Home health agency, Carson City, NV, CCN 297326
  • Eden Home Health Home health agency, Reno, NV, CCN 297035
  • Mission Home Health of Carson City Home health agency, Carson City, NV, CCN 297249
  • Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019
  • Carson Valley Health Hospital, Gardnerville, NV, CCN 291306
  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7494NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carson Medical Group Professional Corporation Family Medicine CurrentSince Jan 1, 1992 Accepting new patients

Locations

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

1200 Mountain St
Carson City, NV 89703
Phone (775) 882-1324

1200 Mountain St
Ste 23
Carson City, NV 89703

1946 Old Hot Springs Rd
Carson City, NV 89706
Phone (775) 283-5050

925 Ironwood Dr
Ste 2111
Minden, NV 89423
Phone (775) 283-5050

Interoperability endpoints

  • Direct secure messaging: timothy.gentner@cmg1.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABJDAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1073576609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MOUNTAIN ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033821",
            "telephone_number": "775-882-1324",
            "fax_number": "775-882-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MOUNTAIN ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033821",
            "telephone_number": "775-882-1324",
            "fax_number": "775-882-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTNER",
        "first_name": "TIMOTHY",
        "middle_name": "GLENN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "7494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002013133",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.