DR. KENYATTA MACK-GATES DDS
NPI 1023007374
Dentist in Middletown, NY

Active since October 19, 2005PECOS Enrolled
61 ORANGE PLAZA LN, MIDDLETOWN, NY 10940(845) 344-3844 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kenyatta Mack-gates Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENYATTA MACK-GATES DDS (NPI 1023007374) is an individual dentist in Middletown, New York, licensed in Pennsylvania (DS042997) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Howard University College Of Dentistry (1997).

NPPES Registry Identity

NPI1023007374
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. KENYATTA MACK-GATESCredential: DDS
Location Address61 ORANGE PLAZA LNMiddletown, NY 10940-2254
Mailing Address61 Orange Plaza LnMiddletown, NY 10940-2254
Sole ProprietorNo
Medical School CMSHoward University College Of DentistryGraduated 1997
Enumeration DateOctober 19, 2005
Last NPPES UpdateApril 16, 2026
NPPES CertifiedApril 16, 2026
NPI 1023007374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in PA · DS042997 Licensed in NY · 048566
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 0401411320 (VA), 12933 (MD)
61 ORANGE PLAZA LN, Middletown, NY 10940

Other Names 1

Professional Name (2)Kenyatta Mack Toler Dds

Secondary Practice Location 1

Location 1850 N 11th StPhiladelphia, PA 19123-1957 · Phone (215) 769-1100

Other Identifiers 2

Medicaid02213830NY
Medicaid001746900MD

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kenyatta Mack-gates Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840575247
PECOS Enrollment IDI20260219000731
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10940 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
61 ORANGE PLAZA LN
MIDDLETOWN, NY 10940
Dentist (General Practice)
61 ORANGE PLAZA LN
MIDDLETOWN, NY 10940
Dentist (General Practice)
61 ORANGE PLAZA LN
MIDDLETOWN, NY 10940

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenyatta Mack-gates's NPI number?

The NPI number for Kenyatta Mack-gates is 1023007374. It was assigned to this individual provider in the NPPES registry on October 19, 2005. The provider is also known as Kenyatta Mack Toler Dds.

Where is Kenyatta Mack-gates located?

Kenyatta Mack-gates practices at 61 Orange Plaza Ln, Middletown, NY 10940. The listed phone number is (845) 344-3844.

What is Kenyatta Mack-gates's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kenyatta Mack-gates enrolled in Medicare?

Yes. Kenyatta Mack-gates is registered in the Medicare PECOS enrollment system.

What insurance does Kenyatta Mack-gates accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 3 other insurers list Kenyatta Mack-gates as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenyatta Mack-gates was last updated on April 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.