Active NPI
William Byron Gentry, DC
- Chiropractor
- Oklahoma City, OK
National Provider Identifier
1689887077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1809
- 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
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1977
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4435 Nw36Th St a
Oklahoma City, OK 73112
Phone (405) 942-5313
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1809 | OK | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gentry a & B Inc. | Chiropractor | Current | Accepting new patients |
Locations
4435 NW 36th St
Ste A
Oklahoma City, OK 73112
Phone (405) 942-5313
4435 NW 36th St
#A
Oklahoma City, OK 73112
Phone (405) 942-5313
Organizations & group practices 1
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": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689887077",
"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": {
"last_name": "GENTRY",
"first_name": "WILLIAM",
"middle_name": "BYRON",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "1809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.