John Liscio, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

016-0000868 Issued in VT

Practice address

369 Heineberg Dr
Colchester, VT 05446

Phone

(802) 658-4873

Fax

(802) 863-5400

NPI assigned

Aug 28, 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 1

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.

• Liscio Family Dentistry, Inc.

  • Dentist
  • Colchester, VT
  • NPI 1992990071
  NPD (past) Authorized official
• Gibilisco Dental PLLC

  • Dental Clinic/Center
  • Colchester, VT
  • NPI 1528724564
  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215045554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 HEINEBERG DR",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "05446",
            "telephone_number": "802-658-4873",
            "fax_number": "802-863-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 HEINEBERG DR",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "05446",
            "telephone_number": "802-658-4873",
            "fax_number": "802-863-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISCIO",
        "first_name": "JOHN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VT",
            "license": "016-0000868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002459",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher J Lewis, PT
• Hailey L Libbey
• Ivy R Liebman, DC
• Kenneth M Liebman, DC
• Liscio Family Dentistry, Inc.
• Danielle Long, LCMHC
• Jeffrey Michael Look, P.T.
• Rebecca Ellen Louko, PT
• Loving Home Care LLC
• Carol Lowe Clay, OTR BS

• Dentist in Colchester, VT
• Providers in Colchester, VT by specialty
• Dentist in Vermont

• 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.