Individual provider Active NPI

Genrundyne C. Algenio, D.D.S.,P.L.L.C.

  • General Practice Dentistry
  • Sterling Heights, MI
National Provider Identifier
1023199072
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17179 Issued in MI
Practice address
41400 Dequindre Rd
Suite 103
Sterling Heights, MI 48314-3763
Phone
(586) 803-9999
Fax
(586) 991-0152
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17179 MI Primary

Addresses

Primary practice location

41400 Dequindre Rd
Suite 103
Sterling Heights, MI 48314-3763

Mailing address

41400 Dequindre Rd
Suite 103
Sterling Heights, MI 48314-3763
Phone (586) 803-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160922001583 MI Order and Referring Only - DentistPractitioner - Dentist 9739476573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17179MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Gigi Algenio DDS PLLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023199072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41400 DEQUINDRE RD",
            "address_2": "SUITE 103",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143763",
            "telephone_number": "586-803-9999",
            "fax_number": "586-991-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41400 DEQUINDRE RD",
            "address_2": "SUITE 103",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143763",
            "telephone_number": "586-803-9999",
            "fax_number": "586-991-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALGENIO",
        "first_name": "GENRUNDYNE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,P.L.L.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "17179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.