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KINTEGRA FAMILY DENTISTRY-STATESVILLE
NPI 1316577406
Clinic/Center - Federally Qualified Health Center (FQHC) in Statesville, NC

Active since January 17, 2020CLIA 34D2298579 · Waiver
518 BROOKDALE DR, STATESVILLE, NC 28677(704) 838-1108(704) 671-1404 Get Directions Write a Review

NPPES record last updated: February 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 18, 2020, Jan 17, 2020 (2 updates tracked since 2020).

About Kintegra Family Dentistry-statesville NPPES

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

KINTEGRA FAMILY DENTISTRY-STATESVILLE (NPI 1316577406) is a healthcare organization registered as a federally qualified health center (fqhc) in Statesville, North Carolina and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through February 4, 2028 and lists Sharmila Alexander Anderson, Business Service Administrator, as its authorized official.

NPPES Registry Identity

NPI1316577406
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGASTON FAMILY HEALTH SERVICES, INC
Location Address518 BROOKDALE DRStatesville, NC 28677-4108
Mailing Address991 W Hudson BlvdGastonia, NC 28052-6430 · (704) 838-1108 · Fax (704) 671-1404
Phone(704) 838-1108
Fax(704) 671-1404
Organization SubpartYes
Authorized OfficialSharmila Alexander AndersonBusiness Service Administrator · (704) 874-1907
Enumeration DateJanuary 17, 2020
Last NPPES UpdateFebruary 18, 20202 updates tracked since enumeration
✔ NPI 1316577406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
518 BROOKDALE DR, Statesville, NC 28677
Open in Google Maps ↗

Other Names 1

Doing Business AsKintegra Family Dentistry-statesville

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2298579

Kintegra Family Dentistry - Statesville · Statesville, NC
Active · expires Feb 4, 2028
CLIA Number34D2298579
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorDr. Shirley Ocloo
Laboratory Phone(704) 874-1954
Laboratory LocationKintegra Family Dentistry - Statesville518 Brookdale Dr, Statesville, NC 28677
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

GASTON FAMILY HEALTH SERVICES, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
518 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 838-1108
HELEN TAI DMD
Dentist (General Practice)
518 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 838-1108
DR. DANIELLE MARIE JONES DDS
Dentist
518 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 838-1108
DR. KATHLEEN MARIE HARKNETT MD
Pediatrics
518 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 872-9595
DEYON A MCCALLA DMD
Dentist
518 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 838-1108
BRITTNEY COBB-FARMER
Social Worker (Clinical)
518 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 872-9595
GASTON FAMILY HEALTH SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
518 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 872-9595
JESSICA MICHELLE HUFF
Counselor (Mental Health)
518 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 872-9595

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 Gaston Family Health Services, Inc's NPI number?

The NPI number for Gaston Family Health Services, Inc is 1316577406. It was assigned to this organization in the NPPES registry on January 17, 2020. The provider is doing business as Kintegra Family Dentistry-Statesville.

Where is Gaston Family Health Services, Inc located?

Gaston Family Health Services, Inc is located at 518 Brookdale Dr, Statesville, NC 28677. The listed phone number is (704) 838-1108.

What is Gaston Family Health Services, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Gaston Family Health Services, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2298579) is associated with this NPI, valid through February 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gaston Family Health Services, Inc was last updated on February 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.