Lissy John, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

28068 Issued in TX

Practice address

1801 Broadway St
Galveston, TX 77550

Phone

(409) 762-8443

NPI assigned

Jul 3, 2012

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

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.

• Ethan Truong, DDS PLLC

  • General Practice Dentistry
  • Galveston, TX
  • NPI 1891300232
  NPD (past)
• J Thomas Carroll DDS PC

  • General Practice Dentistry
  • Galveston, TX
  • NPI 1912127747
  NPD (past)

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1235493370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 BROADWAY ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "77550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 BROADWAY ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "77550",
            "telephone_number": "409-762-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "LISSY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "28068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amyn K. Jiwani, M.D.
• Rahim Salim Jiwani
• Nahyun Jo, MD
• John G Knecht, DPM PA
• Kevin Robbie John
• Susan Noble John, NP-C
• Amanda M Johnson, PT, DPT
• Ariel Fojt Johnson, FNP
• Blake Alan Johnson, MD
• Braden Johnson

• Dentist in Galveston, TX
• Providers in Galveston, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.