Terry D Cisler, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

5001150 Issued in WI

Practice address

1602 N Randall Ave
Janesville, WI 53545-1124

Phone

(608) 756-8744

Fax

(608) 756-5344

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premier Oral & Maxillofacial Surgery S.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Janesville, WI
  • NPI 1992806269
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164523742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SEMINOLE ROAD",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535451124",
            "telephone_number": "608-756-8744",
            "fax_number": "608-756-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 N RANDALL AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535451124",
            "telephone_number": "608-756-8744",
            "fax_number": "608-756-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISLER",
        "first_name": "TERRY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "5001150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS PLUS INSURANCE",
            "identifier": "1008520",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH CARE",
            "identifier": "1020",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Church Chiropractic Clinic, LLC
• John E Church, DC
• Paula Jo Ciebell, LPN
• Kathleen Jean Cikar, R.N
• Amanda L Ciske, CRNA
• Kamela D. Cisneros
• City of Janesville
• William K Clanfield, MD
• Heather Clark, PA-C
• Ryan Keith Clausen, DPT

• Oral and Maxillofacial Surgery (Dentist) in Janesville, WI
• Providers in Janesville, WI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.