Fotene Gennatos, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

08276 Issued in IA

Practice address

415 W 5TH St
Storm Lake, IA 50588-1725

Phone

(712) 732-2277

NPI assigned

Dec 2, 2005

Last updated

Feb 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fotene Gennatos DDS, PLLC

  • Dental Clinic/Center
  • Storm Lake, IA
  • NPI 1225599111
  NPD Authorized official
• Siouxland Dental Health

  • Dentist
  • Sioux City, IA
  • NPI 1831274935
  NPD (past)

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1144204157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W 5TH ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505881725",
            "telephone_number": "712-732-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W 5TH ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505881725",
            "telephone_number": "712-732-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENNATOS",
        "first_name": "FOTENE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08276",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "08276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fotene Gennatos DDS, PLLC
• Briana L Foulk, CRNA
• Ingrid E Franze, M.D.
• Katherine A Frick, ATC
• Function First Chiropractic
• Amelia Helen Gilliland
• Kyle James Glienke, MD
• Wendy L Goodchild, OT
• Robert R Grant, MD
• Abby L Greenlee, APRN

• Dentist in Storm Lake, IA
• Providers in Storm Lake, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.