Thomas Rutner DDS Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

THOMAS RUTNER DDS PROFESSIONAL CORPORATION

Doing business as

Sierra Tahoe Dental

Practice address

1116 Ski Run Blvd Ste 1
South Lake Tahoe, CA 96150-9018

Phone

(530) 544-3426

NPI assigned

Apr 8, 2024

Last updated

Apr 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Alan Rutner, DDSNPI 1669172896

Title

President

Phone

(650) 996-3005

Specialties & licenses 1

Addresses

Other names 1

• Sierra Tahoe Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Rutner, DDS

  • Student in an Organized Health Care Education/Training Program
  • New York, NY
  • NPI 1669172896
  NPD Authorized official

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1407609720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5973",
            "city": "STATELINE",
            "state": "NV",
            "postal_code": "894495973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 SKI RUN BLVD STE 1",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961509018",
            "telephone_number": "530-544-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS RUTNER DDS PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "RUTNER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-996-3005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Tahoe Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Danielle Trapani, DACM LAC

• General Practice Dentistry in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.