Dr. Phil Lisk, DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR. PHIL LISK, DDS, PLLC

Doing business as

SleepWell NC

Practice address

901 Paverstone Dr Ste a
Raleigh, NC 27615-4708

Phone

(919) 870-6892

Fax

(919) 870-0702

NPI assigned

Aug 19, 2021

Last updated

Sep 29, 2021By 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. Philip A Lisk, DDSNPI 1134303738

Title

Owner

Phone

(919) 870-6892

Specialties & licenses 1

Addresses

Other names 1

• SleepWell NC Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Dr Phil Lisk DDS PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr. Phil Lisk, DDS, PLLC

  dba SleepWell NC

  • Dental Clinic/Center
  • Rocky Mount, NC
  • NPI 1578239463
  NPD tax ID

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.

• Philip Alan Lisk, DDS

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1134303738
  NPD Authorized official

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1124794011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 PAVERSTONE DR STE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154708",
            "telephone_number": "919-870-6892",
            "fax_number": "919-870-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PAVERSTONE DR STE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154708",
            "telephone_number": "919-870-6892",
            "fax_number": "919-870-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PHIL LISK, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "LISK",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-870-6892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SleepWell NC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dr. Robert J. Stancill, DDS, Ms, PLLC
• Andrew Drabick, M.D.
• Joel Bruce Dragelin, MD
• Dragonfly Beginnings, PLLC
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• Dental Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.