Justin Lewis Gates, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401412151 Issued in VA

Practice address

1128 N Main St
Suite a
Marion, VA 24354-4299

Phone

(276) 783-6818

Fax

(276) 783-2263

NPI assigned

Jun 12, 2008

Last updated

Dec 10, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1629238613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 N MAIN ST",
            "address_2": "SUITE A",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544299",
            "telephone_number": "276-783-6818",
            "fax_number": "276-783-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 N MAIN ST",
            "address_2": "SUITE A",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544299",
            "telephone_number": "276-783-6818",
            "fax_number": "276-783-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "JUSTIN",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Marion Operating Group LLC (Francis Marion Manor Health and Rehabilitation)
• Carrie Lynn Frye, LCSW
• Teresa Fullen, FNP-C
• Patricia Faye Funk, LCSW
• James L Gates, D.D.S.
• Roberta Lynn Gatlin, PT, DSCPT, PCS
• Genoa Healthcare LLC
• Jamelyn Gillespie, LMT
• George David Gilliam, D.D.S.
• Shelia Glenn, RPH

• General Practice Dentistry in Marion, VA
• Providers in Marion, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.