Kasey Beth Gentilin, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

3993 Issued in WV

Practice address

116 Hills PLZ
Charleston, WV 25387-2438

Phone

(304) 720-4466

Fax

(304) 720-4813

NPI assigned

Jun 13, 2012

Last updated

Aug 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kasey.gentilin.p12@direct.cornerstonecare.nextgenshare.com

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

• Womencare, Inc

  • Federally Qualified Health Center (FQHC)
  • Madison, WV
  • NPI 1740450089
  Medicare reassignment NPD
• Womencare Inc

  dba FamilyCare

  • Federally Qualified Health Center (FQHC)
  • Winfield, WV
  • NPI 1477834216
  NPD
• Womencare Inc

  dba FamilyCare

  • Federally Qualified Health Center (FQHC)
  • Charleston, WV
  • NPI 1770745036
  NPD
• Womencare Inc

  dba FamilyCare Health Center

  • Federally Qualified Health Center (FQHC)
  • Charleston, WV
  • NPI 1871872184
  NPD
• Womencare, Inc

  dba FamilyCare HealthCenter

  • Federally Qualified Health Center (FQHC)
  • Charleston, WV
  • NPI 1972773224
  NPD

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1336401504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 HILLS PLZ",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253872438",
            "telephone_number": "304-720-4466",
            "fax_number": "304-720-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 HILLS PLZ",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253872438",
            "telephone_number": "304-720-4466",
            "fax_number": "304-720-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILIN",
        "first_name": "KASEY",
        "middle_name": "BETH",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039139",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "3993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WV6461A",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anna Gensler, P.T.
• Amy Gentry
• Geoffrey R. Cousins, MD, PLLC
• George E. Lovegrove, M.D. (West Virginia Vein and Skin Centers)
• George L Zaldivar, M.D., LTD.
• Brenda Diane George, M.S., CCC-A

• Dentist in Charleston, WV
• Providers in Charleston, WV by specialty
• Dentist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.