Organization Active NPI

Gentry a & B Inc.

Doing business as Gentry Chiropractic Clinic

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1447463831
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1809 Issued in OK
Legal business name
GENTRY A & B INC.
Doing business as
Gentry Chiropractic Clinic
Practice address
4435 NW 36TH St Ste a
Oklahoma City, OK 73112-2704
Phone
(405) 942-5313
Fax
(405) 948-0167
NPI assigned
May 8, 2007
Last updated
Oct 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
William Byron Gentry, DCNPI 1689887077
Title
President
Phone
(405) 942-5313

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
Chiropractor 111N00000X 1809 OK Primary

Addresses

Primary practice location

4435 NW 36TH St Ste a
Oklahoma City, OK 73112-2704

Mailing address

4435 NW 36TH St Ste a
Oklahoma City, OK 73112-2704
Phone (405) 942-5313

Other names 1

  • Gentry Chiropractic Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120130000259 OK Part B Supplier - Clinic/Group Practice 2062679301 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

4435 NW 36th St
#A
Oklahoma City, OK 73112
Phone (405) 942-5313

4435 NW 36th St
Ste A
Oklahoma City, OK 73112
Phone (405) 942-5313

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1447463831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 NW 36TH ST STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122704",
            "telephone_number": "405-942-5313",
            "fax_number": "405-948-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 NW 36TH ST STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122704",
            "telephone_number": "405-942-5313",
            "fax_number": "405-948-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTRY A & B INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BYRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-942-5313",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "1809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentry Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.