Organization Active NPI

Brenda R. Gentry DDS, PA

  • General Practice Dentistry
  • Pflugerville, TX
National Provider Identifier
1417150244
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18637 Issued in TX
Legal business name
BRENDA R. GENTRY DDS, PA
Practice address
15803 Windermere Dr
Ste 400
Pflugerville, TX 78660-2402
Phone
(512) 252-7645
NPI assigned
Jun 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Dr. Brenda Renee Gentry, DDSNPI 1356594717
Title
Owner
Phone
(512) 252-7645

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 18637 TX Primary

Addresses

Primary practice location

15803 Windermere Dr
Ste 400
Pflugerville, TX 78660-2402

Mailing address

15803 Windermere Dr
Suite 400
Pflugerville, TX 78660-2402
Phone (512) 252-7645

National Provider Directory

National Provider Directory

Locations

15803 Windermere Dr
Ste 400
Pflugerville, TX 78660
Phone (512) 252-7645

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1417150244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15803 WINDERMERE DR",
            "address_2": "SUITE 400",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602402",
            "telephone_number": "512-252-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15803 WINDERMERE DR",
            "address_2": "STE 400",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602402",
            "telephone_number": "512-252-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA R. GENTRY DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-252-7645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.