Organization Active NPI

Genasci and Stigers Dental Corporation

  • Dental Clinic/Center
  • South Lake Tahoe, CA
National Provider Identifier
1609695014
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GENASCI AND STIGERS DENTAL CORPORATION
Practice address
2867 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-7805
Phone
(530) 544-4893
NPI assigned
Oct 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Mercedes Figueroa
Title
Credentialing
Phone
(623) 289-3392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2867 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-7805

Mailing address

19601 N Black Canyon Hwy # 201
Phoenix, AZ 85027-4107
Phone (623) 289-3392

National Provider Directory

National Provider Directory

Locations

2867 Lake Tahoe Blvd
South Lake Tahoe, CA 96150
Phone (530) 544-4893

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1609695014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19601 N BLACK CANYON HWY # 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274107",
            "telephone_number": "623-289-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2867 LAKE TAHOE BLVD",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507805",
            "telephone_number": "530-544-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENASCI AND STIGERS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "623-289-3392"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.