Genelle Guevarra-Shams, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

106538 Issued in CA

Practice address

7777 Sunrise Blvd
Citrus Heights, CA 95610-2300

Phone

(916) 822-8958

NPI assigned

Jul 20, 2021

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: gguevarrashams782627@direct.ochin.org

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1790358422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 CAVERSHAM WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957476402",
            "telephone_number": "916-300-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 SUNRISE BLVD",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956102300",
            "telephone_number": "916-822-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARRA-SHAMS",
        "first_name": "GENELLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian Dana Gregg
• Monique Medrano Gresens, AMFT
• Samantha Taylor Grivette
• Zachary Silva Grosser
• Astrid Fabiola Gudiel
• Ernesto Gueyger
• Lisa Gulino, LMFT
• Robert Ryan Lucas Gunton, PHD
• Vanessa Gutierrez-Ramirez
• Claudia Faburrieta Gutierrez

• General Practice Dentistry in Citrus Heights, CA
• Providers in Citrus Heights, 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 Jul 20, 2021; 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.