Grant Liske DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GRANT LISKE DDS PC

Practice address

330 9TH St
Ramona, CA 92065-2321

Phone

(760) 789-9500

Fax

(760) 789-5179

NPI assigned

Feb 18, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Grant Liske, DDSNPI 1265541965

Title

Owner

Phone

(760) 789-9500

Specialties & licenses 1

Addresses

Other names 1

• Grant Liske DDS Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Grant M Liske, DDS

  • General Practice Dentistry
  • Ramona, CA
  • NPI 1265541965
  NPD (past) Authorized official

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1386277374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 9TH ST",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920652321",
            "telephone_number": "760-789-9500",
            "fax_number": "760-789-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 9TH ST",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920652321",
            "telephone_number": "760-789-9500",
            "fax_number": "760-789-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT LISKE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "LISKE",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-789-9500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grant Liske DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa Ruiz Gonzales, PNP
• Jaime Gonzalez, DDS
• Gopinath Corporation
• Gopinath Corporation
• Carol Grace, MD
• Zarinah Gray, OWNER
• Greater Purpose Corporation
• Greater Purpose Corporation
• Rodney Green
• Maria Greer

• General Practice Dentistry in Ramona, CA
• Providers in Ramona, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.