Organization Active NPI

J B Gentry MD PA

  • Clinical Medical Laboratory
  • Kings Mountain, NC
National Provider Identifier
1326322462
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
J B GENTRY MD PA
Practice address
706 W King St
Kings Mountain, NC 28086-2708
Phone
(980) 487-3151
Fax
(980) 487-3689
NPI assigned
Oct 7, 2011
Last updated
Nov 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
Dr. J B Gentry, MD PA
Title
Physician
Phone
(980) 487-3151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

706 W King St
Kings Mountain, NC 28086-2708

Mailing address

PO Box 577
Kings Mountain, NC 28086-0577
Phone (980) 487-3151

Other names 1

  • J B Gentry MD PA Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1326322462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280860577",
            "telephone_number": "980-487-3151",
            "fax_number": "980-487-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 W KING ST",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280862708",
            "telephone_number": "980-487-3151",
            "fax_number": "980-487-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J B GENTRY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-07",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "980-487-3151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J B Gentry MD PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kings Mountain, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.