Individual provider Active NPI

Gena Schultheis, D.D.S

  • Dentist
  • Dunkirk, MD
National Provider Identifier
1871696146
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14701 Issued in MD
Practice address
10415 Southern Maryland Blvd
Dunkirk, MD 20754-2738
Phone
(410) 257-7200
NPI assigned
Sep 5, 2006
Last updated
May 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401411165 VA
Dentist 122300000X 14701 MD Primary

Addresses

Primary practice location

10415 Southern Maryland Blvd
Dunkirk, MD 20754-2738

Mailing address

10415 Southern Maryland Blvd
Dunkirk, MD 20754-2738
Phone (410) 257-7200

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

LicenseStateTypeSpecialty
0401411165VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Calvert Family and Cosmetic Dentistry Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1871696146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10415 SOUTHERN MARYLAND BLVD",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207542738",
            "telephone_number": "410-257-7200",
            "fax_number": "410-257-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10415 SOUTHERN MARYLAND BLVD",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207542738",
            "telephone_number": "410-257-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTHEIS",
        "first_name": "GENA",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411165",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "14701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunkirk, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.