Gina Alessandra Scalisi Tischendorf, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901021523 Issued in MI

Practice address

4025 Highland Rd
Waterford, MI 48328-2134

Phone

(248) 682-6010

NPI assigned

Jul 7, 2015

Last updated

Nov 22, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1346623543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282134",
            "telephone_number": "248-682-6010",
            "fax_number": "248-682-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282134",
            "telephone_number": "248-682-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISCHENDORF",
        "first_name": "GINA",
        "middle_name": "ALESSANDRA SCALISI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Waterford, MI
• Providers in Waterford, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.