Individual provider Active NPI

William Byron Gentry, DC

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1689887077
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1809 Issued in OK
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

Updated by the provider on Jul 8, 2007

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

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120130000274 OK Practitioner - Chiropractic 3971760216 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
1809OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gentry a & B Inc. Chiropractor CurrentSince Nov 16, 2011 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.

Verify at the official NPI Registry.