Individual provider Active NPI

Christopher Gentine, C.A.D.C.

  • Addiction (Substance Use Disorder) Counselor
  • Dayton, NV
National Provider Identifier
1174960322
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
00217-C Issued in NV
Practice address
50 River St # 4
Dayton, NV 89403-6721
Phone
(775) 246-6214
Fax
(775) 246-6314
NPI assigned
May 29, 2013
Last updated
May 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 00217-C NV Primary

Addresses

Primary practice location

50 River St # 4
Dayton, NV 89403-6721

Mailing address

50 River St # 4
Dayton, NV 89403-6721

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

LicenseStateTypeSpecialty
00217-CNVMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1174960322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 RIVER ST # 4",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "894036721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 RIVER ST # 4",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "894036721",
            "telephone_number": "775-246-6214",
            "fax_number": "775-246-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTINE",
        "first_name": "CHRISTOPHER",
        "credential": "C.A.D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "00217-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.