KINTEGRA MOBILE DENTISTRY-SOUTH (GASTON FAMILY HEALTH SERVICES, INC.) NPI 1003446196

Clinic/Center (Federally Qualified Health Center (FQHC)) in Lincolnton, NC

Organization Clinic/Center Federally Qualified Health Center (FQHC)

About KINTEGRA MOBILE DENTISTRY-SOUTH (GASTON FAMILY HEALTH SERVICES, INC.)

Kintegra Mobile Dentistry-south (gaston Family Health Services, Inc.) is a provider established in Lincolnton, North Carolina specializing in clinic/center. The NPI number of Kintegra Mobile Dentistry-south (gaston Family Health Services, Inc.) is 1003446196 and was assigned on January 2020. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated March 2020. The provider's is doing business as Kintegra Mobile Dentistry-south. The authorized official of this NPI record is Sharmila Alexander Anderson (Business Service Administrator)

NPI

1003446196

Provider NameKINTEGRA MOBILE DENTISTRY-SOUTH (GASTON FAMILY HEALTH SERVICES, INC.)
Provider Location Address212 GAMBLE DR LINCOLNTON, NC 28092
Provider Mailing Address991 W HUDSON BLVD GASTONIA, NC 28052
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameKINTEGRA MOBILE DENTISTRY-SOUTH
Other Name TypeDoing Business As (3)
Enumeration Date01-17-2020
Last Update Date03-16-2020

Primary Taxonomy

Taxonomy Code261QF0400X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationFederally Qualified Health Center (FQHC)

Business Address

KINTEGRA MOBILE DENTISTRY-SOUTH
212 GAMBLE DR
LINCOLNTON, NC
ZIP 28092
Phone: (704) 853-5191
Fax: (704) 671-1404

Get Directions

Mailing Address

KINTEGRA MOBILE DENTISTRY-SOUTH
991 W HUDSON BLVD
GASTONIA, NC
ZIP 28052
Phone: (704) 853-5191
Fax: (704) 671-1404

Authorized Official

Authorized Official Name SHARMILA ALEXANDER ANDERSON
Authorized Official TitleBUSINESS SERVICE ADMINISTRATOR
Authorized Official Phone(704) 874-1907

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053707984 AGATHA OFEI FNP
Individual
Nurse Practitioner (Family)212 GAMBLE DR
LINCOLNTON, NC 28092
(704) 435-7145
1407114168DR. KIMBERLY ROBIN HOWE MD
Individual
Family Medicine212 GAMBLE DR
LINCOLNTON, NC 28092
(704) 735-7145
1629533831 JANINE JOLLY PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)212 GAMBLE DR
LINCOLNTON, NC 28092
(704) 735-7145
1710209473GASTON FAMILY HEALTH SERVICES INC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))212 GAMBLE DR
LINCOLNTON, NC 28092
(704) 735-7145
1740678606 CASEY GILBERT NP
Individual
Nurse Practitioner (Family)212 GAMBLE DR
LINCOLNTON, NC 28092
(704) 735-7145

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.