KINTEGRA PEDIATRIC DENTISTRY - GASTONIA
NPI 1992335145
Clinic/Center - Federally Qualified Health Center (FQHC) in Gastonia, NC

Q: What is Gaston Family Health Services, Inc's NPI number?

The NPI number for Gaston Family Health Services, Inc is 1992335145. It was assigned to this organization in the NPPES registry on January 16, 2020. The provider is doing business as Kintegra Pediatric Dentistry - Gastonia.

Q: 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.

Active since January 16, 2020CLIA 34D2298570 · Waiver

890 SUMMIT CROSSING PL, GASTONIA, NC 28054(704) 874-0377(704) 671-1404 Get Directions Write a Review

NPPES record last updated: February 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 18, 2020, Jan 16, 2020 (2 updates tracked since 2020).

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About Kintegra Pediatric Dentistry - Gastonia NPPES

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

KINTEGRA PEDIATRIC DENTISTRY - GASTONIA (NPI 1992335145) is a healthcare organization registered as a federally qualified health center (fqhc) in Gastonia, 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

NPI1992335145

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameGASTON FAMILY HEALTH SERVICES, INC

Location Address890 SUMMIT CROSSING PLGastonia, NC 28054-2192

Mailing Address991 W Hudson BlvdGastonia, NC 28052-6430 · (704) 874-0377 · Fax (704) 671-1404

Phone(704) 874-0377

Fax(704) 671-1404

Organization SubpartYes

Authorized OfficialSharmila Alexander AndersonBusiness Service Administrator · (704) 874-1907

Enumeration DateJanuary 16, 2020

Last NPPES UpdateFebruary 18, 20202 updates tracked since enumeration

✔ NPI 1992335145 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

890 SUMMIT CROSSING PL, Gastonia, NC 28054

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Other Names 1

Doing Business AsKintegra Pediatric Dentistry - Gastonia

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 34D2298570

Kintegra Pediatric Dentistry - Gastonia · Gastonia, NC

Active · expires Feb 4, 2028

CLIA Number34D2298570

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 Pediatric Dentistry - Gastonia890 Summit Crossing Pl, Gastonia, NC 28054

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 8

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

TERENCE ELLIOT BOLDEN DDS

Dentist