Active NPI
Cheryl Lynn Pisano, DMD
- Dentist
- Lady Lake, FL
National Provider Identifier
1154630341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN17274
- Practice address
- 8575 NE 138TH LN Ste 105
Lady Lake, FL 32159-8996 - Phone
- (352) 364-0064
- Fax
- (352) 364-0065
- NPI assigned
- Oct 5, 2010
- Last updated
- Jun 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN17274 | FL | Primary |
Addresses
Primary practice location
8575 NE 138TH LN Ste 105
Lady Lake, FL 32159-8996
Mailing address
8575 NE 138TH LN Ste 105
Lady Lake, FL 32159-8996
Phone (352) 364-0064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN17274 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dunnellon Dentistry | Past | Accepting new patients | |
| Cnjuenger | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Dunnellon, FL
- NPI 1902772189
-
- General Practice Dentistry
- Dunnellon, FL
- NPI 1578953113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1154630341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8575 NE 138TH LN STE 105",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321598996",
"telephone_number": "352-364-0064",
"fax_number": "352-364-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8575 NE 138TH LN STE 105",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321598996",
"telephone_number": "352-364-0064",
"fax_number": "352-364-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISANO",
"first_name": "CHERYL",
"middle_name": "LYNN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-05",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN17274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lady Lake, FL
- Physicians Audiology Service, Inc (Advanced Hearing Centers of America)
- Physicians for Accountable Care, LLC
- Physicians for Quality Healthcare,Inc (physicians rehabilitation)
- Carlo Francis Pilapil
- Pimendent, PA
- David Posada, DDS
- Alaina Marie Potter, LMHC
- Jeffrey J Pralle
- Premiere Care Providers LLC
- Braxton William Price, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.