Edmund A Lipskis, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

516 E Main St
St Charles, IL 60174-2133

Phone

(630) 377-3131

Fax

(630) 377-7204

NPI assigned

Oct 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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 IL

Eligible to order & refer

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

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.

• St. Charles Family Dentristry L.T.D.

  • General Practice Dentistry
  • St Charles, IL
  • NPI 1114290988
  Authorized official Same address or phone

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417031550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 E MAIN ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742133",
            "telephone_number": "630-377-3131",
            "fax_number": "630-377-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 E MAIN ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742133",
            "telephone_number": "630-377-3131",
            "fax_number": "630-377-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSKIS",
        "first_name": "EDMUND",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krysta Leigh Lilland, DDS
• Liminal Pathways Counseling, PLLC
• Lindsay Tobin, PSYD, PLLC
• Darryl V. Link, M.D.
• Dana Lipskis, DDS
• Lynn O Lipskis, D.D.S.
• Gary Littlefield, LCSW
• Les G. Lochard, M.D.
• Glen K. Lochmueller, M.D.
• Kay Foley Lofgren, MA, LCPC

• General Practice Dentistry in St Charles, IL
• Providers in St Charles, IL by specialty
• General Practice Dentistry in Illinois

• 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.
• 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.