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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: October 25, 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
Phone(845) 344-3844
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kenyatta Mack-gates reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Practice & Counseling Services Network, Inc.
105 mi
Federally Qualified Health Center (FQHC)
6501 LIMEKILN PIKE
Philadelphia, PA 19138
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 58 clinicians in this Medicare group
NPI 1942969126 (215) 400-7450
Syracuse Community Health Center
142 mi
Federally Qualified Health Center (FQHC)
930 S SALINA ST
Syracuse, NY 13202
  • Reassigned Medicare billing, New York enrollment
  • 87 clinicians in this Medicare group
NPI 1184886988 (315) 476-7921

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. MIHAELA SCHIOPU DDS
Dentist
61 ORANGE PLAZA LN
MIDDLETOWN, NY 10940
Orange County (845) 344-3844
DR. KENDALL ASHLEY SAFFNER DMD
Dentist (General Practice)
61 ORANGE PLAZA LN
MIDDLETOWN, NY 10940
Orange County (877) 298-2320
ORIS DENTAL OF ORANGE COUNTY PLLC
Dentist (General Practice)
61 ORANGE PLAZA LN
MIDDLETOWN, NY 10940
Orange County (845) 344-3844

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.

Which organizations bill Medicare for Kenyatta Mack-gates's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenyatta Mack-gates reassigns Medicare benefits to 2 organizations: Family Practice & Counseling Services Network, Inc. (Philadelphia, PA) and Syracuse Community Health Center (Syracuse, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenyatta Mack-gates's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenyatta Mack-gates accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and EMI Health and 12 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.