Active NPI
William Frank Liljemark, DDS, PLD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Richfield, MN
National Provider Identifier
1346345238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 7105
- Practice address
- 1537 E 66TH St # 100
Richfield, MN 55423-2663 - Phone
- (612) 866-3333
- Fax
- (612) 866-2845
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 7105 | MN | Primary |
Addresses
Primary practice location
1537 E 66TH St # 100
Richfield, MN 55423-2663
Mailing address
1537 E 66TH St # 100
Richfield, MN 55423-2663
Phone (612) 866-3333
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 |
|---|---|---|---|
| 7105 | MN | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richfield Orthodontic Associates | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Richfield, MN
- NPI 1669655890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346345238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1537 E 66TH ST # 100",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554232663",
"telephone_number": "612-866-3333",
"fax_number": "612-866-2845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1537 E 66TH ST # 100",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554232663",
"telephone_number": "612-866-3333",
"fax_number": "612-866-2845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILJEMARK",
"first_name": "WILLIAM",
"middle_name": "FRANK",
"name_prefix": "Dr.",
"credential": "DDS, PLD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MN",
"license": "7105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richfield, MN
Sources for this page
- 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.