Balkrishna Ramesh Gentyala, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1856347 Issued in MA

Practice address

1064 Massachusetts Ave
Arlington, MA 02476

Phone

(781) 646-4400

NPI assigned

Jul 11, 2013

Last updated

Sep 12, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Balkrishna Ramesh Gantyala Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Arlington Smiles, P.C.

  • Dental Clinic/Center
  • Arlington, MA
  • NPI 1588179865
  NPD (past) Authorized official
• David G Wyman DMD PC

  dba Arlington Center for Cosmetic Dentistry

  • General Practice Dentistry
  • Arlington, MA
  • NPI 1497831861
  NPD (past)

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1073954657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 MASSACHUSETTS AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764311",
            "telephone_number": "781-646-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 MASSACHUSETTS AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "02476",
            "telephone_number": "781-646-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Newton St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182308",
            "country_code": "US",
            "telephone_number": "781-817-3177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENTYALA",
        "first_name": "BALKRISHNA",
        "middle_name": "RAMESH",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-11",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1856347",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BALKRISHNA",
            "last_name": "GANTYALA",
            "middle_name": "RAMESH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael S Garber, DMD
• Norman Garber, OD
• Pauline G Gardiner, OTR
• Ryan Garrity
• Sheilah M. Gauch, LICSW
• Germaine Lawrence Incorporated
• Germaine Lawrence, Inc.
• Christopher Karl Germer, PH.D.
• Laura Ita Gerson
• Miranda Gerzon

• Dentist in Arlington, MA
• Providers in Arlington, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.