Active NPI
Dana Gentile, OTR/L
- Prevention Professional
- Virginia Beach, VA
National Provider Identifier
1174660336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- 0119006386
- Practice address
- 2320 Red Tide Rd
Virginia Beach, VA 23451-1204 - Phone
- (757) 550-0725
- Fax
- (888) 306-7078
- NPI assigned
- Jan 30, 2007
- Last updated
- Mar 21, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 0119006386 | VA | Primary |
Addresses
Primary practice location
2320 Red Tide Rd
Virginia Beach, VA 23451-1204
Mailing address
401 Torre Pine CT
Chesapeake, VA 23322-8097
Phone (301) 852-0815
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 |
|---|---|---|---|
| 0119006386 | VA | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490054400000",
"number": "1174660336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 TORRE PINE CT",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233228097",
"telephone_number": "301-852-0815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 RED TIDE RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234511204",
"telephone_number": "757-550-0725",
"fax_number": "888-306-7078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTILE",
"first_name": "DANA",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2017-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "VA",
"license": "0119006386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
- Generations Home Health , LLC
- Genes Loving Heart Home Care LLC
- Genesis Healthcare
- Genesis Rehab Services
- Valerio Maria Genta, MD
- Gentle Dental Center
- Gentle Hands Home Healthcare (Gentle Hands Home Healthcare Services)
- Gentle Hands Home Healthcare Services
- Gentle Touch Home Health Services (Gentle touch home health care)
- Barry Chance Gentry, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.