Thomas Harrison Gentry III, IDC

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

110 Fieldcrest Dr
Jacksonville, NC 28546-9673

Phone

(910) 450-8054

Fax

(910) 450-8053

NPI assigned

May 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194932673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 FIELDCREST DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285469673",
            "telephone_number": "910-450-8054",
            "fax_number": "910-450-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FIELDCREST DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285469673",
            "telephone_number": "910-450-8054",
            "fax_number": "910-450-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "THOMAS",
        "middle_name": "HARRISON",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devinn L Geeson, DDS
• Zachary Geiger
• Generations Family Practice, PA
• Genesis Therapeutic Services, Inc.
• Shelby Gentry
• George a Howard, III MD
• Gail Debose Georgescu, LPA
• Rachel Lynn Gernert, LMFT
• Jennifer Paige Gerst, DOT, OTR/L
• Nancy Ghali, PH.D.

• All providers in Jacksonville, NC
• Independent Duty Medical Technicians in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.