Active NPI
Dental Corporation of Jason Fligor, DDS
- General Practice Dentistry
- Tahoe City, CA
National Provider Identifier
1508686940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DENTAL CORPORATION OF JASON FLIGOR, DDS
- Practice address
- 140 Mackinaw Rd
Tahoe City, CA 96145-1929 - Phone
- (530) 583-0278
- NPI assigned
- Oct 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christy Dupin
- Title
- Manager
- Phone
- (480) 674-4151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
140 Mackinaw Rd
Tahoe City, CA 96145-1929
Mailing address
140 Mackinaw Rd
Tahoe City, CA 96145-1929
Phone (530) 583-0278
Other names 1
- North Tahoe Dental - Tahoe City
National Provider Directory
National Provider Directory- Tax ID family
- Dental Corporation of Jason Fligor DDS
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Truckee, CA
- NPI 1609696046
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Tahoe City, CA
- NPI 1417020413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761177600000",
"number": "1508686940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 MACKINAW RD",
"city": "TAHOE CITY",
"state": "CA",
"postal_code": "961451929",
"telephone_number": "530-583-0278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 MACKINAW RD",
"city": "TAHOE CITY",
"state": "CA",
"postal_code": "961451929",
"telephone_number": "530-583-0278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL CORPORATION OF JASON FLIGOR, DDS",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-11",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A",
"authorized_official_last_name": "DUPIN",
"authorized_official_first_name": "CHRISTY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "480-674-4151"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "North Tahoe Dental - Tahoe City",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tahoe City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.