Beth Lorraine Genho, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

HAD27 Issued in FL

Practice address

37615 Martin Luther King Blvd
Dade City, FL 33523-3099

Phone

(352) 518-2000

NPI assigned

Aug 5, 2007

Last updated

Sep 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Premier Community Healthcare Group, Inc

  • Federally Qualified Health Center (FQHC)
  • Dade City, FL
  • NPI 1649882945
  NPD

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1942491154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15800 LAKE IOLA RD",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335237420",
            "telephone_number": "352-524-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37615 MARTIN LUTHER KING BLVD",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335233099",
            "telephone_number": "352-518-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37944 Pasco Ave",
            "address_purpose": "LOCATION",
            "city": "Dade City",
            "state": "FL",
            "postal_code": "335254202",
            "country_code": "US",
            "telephone_number": "352-518-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENHO",
        "first_name": "BETH",
        "middle_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22900",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "HAD27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Fulcher, RN
• China Valencia Gadsden, RBT, HHA
• Arthur Gagne, CPO
• Quintensia Lolita Gaitan-Harris
• Sagar C Galwankar, MD
• Michele Gerrell
• Jaclyn Giardino, APRN
• Susan J Gibbs, ARNP
• Gil Fernandez, LMHC PA (Gil Fernandez Counseling & Assessments)
• Emily Gilbert

• General Practice Dentistry in Dade City, FL
• Providers in Dade City, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.