Active NPI
Anna Celeste Gibson Gentry
- Otolaryngology Physician
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A199750
- Practice address
- 137 W Van Asche Loop
Fayetteville, AR 72703-4974 - Phone
- (479) 751-7000
- NPI assigned
- Mar 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | A199750 | CA | Primary |
Addresses
Primary practice location
137 W Van Asche Loop
Fayetteville, AR 72703-4974
Mailing address
137 W Van Asche Loop
Fayetteville, AR 72703-4974
Phone (479) 751-7000
Other practice location 1
1 Childrens Way # 543
Little Rock, AR 72202-3500
Phone (501) 602-1214
Other practice location 2
4301 W Markham St # 543
Little Rock, AR 72205-7101
Phone (501) 603-1214
Other practice location 3
101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-5753
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Arkansas College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-5731
Hospital & facility affiliations
- Uci Health-Orange
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A199750 | CA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Head & Neck Surgeons | Otolaryngology | Current | Accepting new patients |
| University of California Irvine | Past | Accepting new patients |
Locations
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
101 The City Dr S
Bldg 25
Orange, CA 92868
Phone (714) 456-5731
101 The City Dr S
Bldg 30A
Orange, CA 92868
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- Orange, CA
- NPI 1669437075
-
- Infusion Therapy Clinic/Center
- Irvine, CA
- NPI 1417027475
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1245868124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 W VAN ASCHE LOOP",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034974",
"telephone_number": "479-751-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 W VAN ASCHE LOOP",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034974",
"telephone_number": "479-751-7000"
}
],
"practiceLocations": [
{
"address_1": "1 Childrens Way # 543",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722023500",
"country_code": "US",
"telephone_number": "501-602-1214",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4301 W Markham St # 543",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057101",
"country_code": "US",
"telephone_number": "501-603-1214",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 The City Dr S",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928683201",
"country_code": "US",
"telephone_number": "714-456-5753",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GENTRY",
"first_name": "ANNA",
"middle_name": "CELESTE GIBSON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-27",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "A199750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.
- 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.