Active NPI
Gwendolyn Dawn Kines-McLeod, D.D.S.
- General Practice Dentistry
- Terrell, TX
National Provider Identifier
1730270703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22185
- Practice address
- 401 N Ann St
B
Terrell, TX 75160-2549 - Phone
- (972) 524-5347
- Fax
- (972) 524-2142
- NPI assigned
- Sep 27, 2006
- Last updated
- Oct 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22185 | TX | Primary |
Addresses
Primary practice location
401 N Ann St
B
Terrell, TX 75160-2549
Mailing address
401 N Ann St Ste B
Terrell, TX 75160-2549
Phone (972) 524-5347
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1784944-01 | Medicaid | TX |
Other names 1
- Dr. Gwendolyn Dawn Kines
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150708002440 | TX | Order and Referring Only - Dentist | 1355653130 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gwendolyn Kines-McLeod DDS,PLLC | General Practice | Current | Accepting new patients |
Locations
401 N Ann St
Ste B
Terrell, TX 75160
Phone (972) 524-5347
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Terrell, TX
- NPI 1952900466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509321600000",
"number": "1730270703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N ANN ST STE B",
"city": "TERRELL",
"state": "TX",
"postal_code": "751602549",
"telephone_number": "972-524-5347",
"fax_number": "972-524-2142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N ANN ST",
"address_2": "B",
"city": "TERRELL",
"state": "TX",
"postal_code": "751602549",
"telephone_number": "972-524-5347",
"fax_number": "972-524-2142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINES-MCLEOD",
"first_name": "GWENDOLYN",
"middle_name": "DAWN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2017-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "22185",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1784944-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GWENDOLYN",
"last_name": "KINES",
"middle_name": "DAWN",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Terrell, TX
- John Patrick Kegerreis, PH.D.
- Carrie Kelly, PT, DPT
- Eric S Kemp, MD
- John Kennedy, PSY.D
- Kindstar, Inc.
- Kirashaven Holdings, Inc. (Integrative Chiropractic)
- Tara D Kuchinski, LPC
- Aicha Kuwong, RBT
- Mary Agyeiwaa Kwarteng
- Lakes Regional Mental Health Mental Retardation Center (Lakes Regional Community Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.