Individual provider Active NPI

Cameron Gentile, D.C.

  • Chiropractor
  • Indian Trail, NC
National Provider Identifier
1225480221
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4655 Issued in NC
Practice address
100 Park Rd E
Indian Trail, NC 28079-7622
Phone
(704) 821-3222
Fax
(704) 821-3290
NPI assigned
Jul 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4158 SC
Chiropractor 111N00000X 4655 NC Primary

Addresses

Primary practice location

100 Park Rd E
Indian Trail, NC 28079-7622

Mailing address

PO Box 812
Indian Trail, NC 28079-0812
Phone (704) 821-3222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180319002526 SC Practitioner - Chiropractic 8224390810 Reassigns benefits to 1 organization
I20190110001223 NC Practitioner - Chiropractic 8224390810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Park Rd E
Indian Trail, NC 28079-7622
Phone (704) 821-3222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Health Solutions, PLLC Chiropractor CurrentSince Dec 8, 2018 Accepting new patients
Infinite Wellness Center CurrentSince Feb 1, 2018 Accepting new patients
Dana Giarrizzi, LLC PastSince May 16, 2021 Accepting new patients

Locations

100 Park Rd E
Indian Trail, NC 28079
Phone (704) 821-3222

1698 Highway 160 W
Ste 200
Fort Mill, SC 29708
Phone (803) 547-4343

1698 Highway 160 W
Ste 210
Fort Mill, SC 29708
Phone (804) 547-4343

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1225480221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 812",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280790812",
            "telephone_number": "704-821-3222",
            "fax_number": "704-821-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK RD E",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280797622",
            "telephone_number": "704-821-3222",
            "fax_number": "704-821-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILE",
        "first_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-01",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4158",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.