Individual provider Active NPI

June V Gentle, DC

  • Chiropractor
  • Fleming Island, FL
National Provider Identifier
1407855281
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7065 Issued in FL
Practice address
3535 US Highway 17 Ste 11
Fleming Island, FL 32003-7139
Phone
(904) 644-8100
Fax
(305) 644-8101
NPI assigned
Jul 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7065 FL Primary

Addresses

Primary practice location

3535 US Highway 17 Ste 11
Fleming Island, FL 32003-7139

Mailing address

3535 US Highway 17 Ste 11
Fleming Island, FL 32003-7139
Phone (904) 644-8100

Other identifiers 1

IdentifierTypeStateIssuer
380953600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH7065FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
All Gentle Chiropractic PA Chiropractor Current Accepting new patients
Path to Wellness Clinic of Chiropractic Chiropractor Past Accepting new patients

Locations

10531 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 431-2713

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.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1407855281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 US HIGHWAY 17 STE 11",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320037139",
            "telephone_number": "904-644-8100",
            "fax_number": "305-644-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 US HIGHWAY 17 STE 11",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320037139",
            "telephone_number": "904-644-8100",
            "fax_number": "305-644-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTLE",
        "first_name": "JUNE",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380953600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.