Lisal B. Isaacs, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7617 Issued in NC

Practice address

603 Nash St W Ste C
Wilson, NC 27893-3059

Phone

(252) 291-6313

Fax

(252) 291-0391

NPI assigned

Aug 22, 2006

Last updated

Oct 2, 2023By the provider in NPPES

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Lisal B. Isaacs, DMD, P.a.

  • General Practice Dentistry
  • Wilson, NC
  • NPI 1881882710
  Authorized official Same address or phone

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1255447918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 NASH ST W STE C",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933059",
            "telephone_number": "252-291-6313",
            "fax_number": "252-291-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 NASH ST W STE C",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933059",
            "telephone_number": "252-291-6313",
            "fax_number": "252-291-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACS",
        "first_name": "LISAL",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Interim Healthcare - Morris Group, Inc.
• Interim Healthcare - Morris Group, Inc.
• Interim Healthcare of the Triad, Inc.
• Interim Healthcare of the Triad, Inc.
• George Coupland Isaacs, M.D.
• J & L Summerville Academy
• Anthony Benedict Jackson, NP
• Matthew Jackson, PHARMD
• Megan Alexandra Jackson
• Shannon Byrd Jackson, RD, LDN

• General Practice Dentistry in Wilson, NC
• Providers in Wilson, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.