Active NPI
Brenda R. Gentry DDS, PA
- General Practice Dentistry
- Pflugerville, TX
National Provider Identifier
1417150244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18637
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brenda Renee Gentry, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Pflugerville, TX
- NPI 1356594717
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.