Active NPI
Joel Alexander Gentry, DDS
- Dentist
- High Point, NC
National Provider Identifier
1790708642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- NC5708
- Practice address
- 212 W Lexington Ave
Suite 102
High Point, NC 27262-2534 - Phone
- (336) 886-4933
- Fax
- (336) 886-4485
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | NC5708 | NC | Primary |
Addresses
Primary practice location
212 W Lexington Ave
Suite 102
High Point, NC 27262-2534
Mailing address
212 W Lexington Ave
Suite 102
High Point, NC 27262-2534
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 549026 | Other | UNITED CONCORDIA | |
| 81044434 | Other | AL | BLUE CROSS |
| 8993142 | Medicaid | NC | |
| 93142 | Other | NC | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC5708 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joel a. Gentry, DDS, PLLC | Past | Accepting new patients |
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.
-
- Dental Clinic/Center
- High Point, NC
- NPI 1770760126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790708642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 W LEXINGTON AVE",
"address_2": "SUITE 102",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272622534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 W LEXINGTON AVE",
"address_2": "SUITE 102",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272622534",
"telephone_number": "336-886-4933",
"fax_number": "336-886-4485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTRY",
"first_name": "JOEL",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "NC5708",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "549026",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "81044434",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8993142",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "93142",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.