Stephen Douglas Genewick, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

046403 Issued in NY

Practice address

3083 William St
Cheektowaga, NY 14227-1933

Phone

(716) 668-7199

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1174622328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CENTRAL AVE",
            "address_2": "STE 101",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140861262",
            "telephone_number": "716-684-5394",
            "fax_number": "716-684-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3083 WILLIAM ST",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142271933",
            "telephone_number": "716-668-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENEWICK",
        "first_name": "STEPHEN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "046403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frida Gelfer, MD
• Charles B Gelia, M.D.
• Karin Gelz, MSED
• Joseph M Genau, DPM
• Genesee-Transit Pediatrics LLP
• Laura Gennaro, DMD
• Marielle Gennaro
• Ann Marie Gentile, O.D.
• Maura George, SLP
• Michael Paul George, P.T., D.P.T., CWS

• Dentist in Cheektowaga, NY
• Providers in Cheektowaga, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.