William Ryan Kisker, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

701 N Milwaukee Ave
Suite 320
Vernon Hills, IL 60061-1556

Phone

(847) 918-0001

Fax

(847) 918-8714

NPI assigned

Jan 26, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

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.

• Kisker Dental Associates, LTD.

  • Dental Clinic/Center
  • Vernon Hills, IL
  • NPI 1891984852
  NPD (past) Authorized official

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1437205143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N MILWAUKEE AVE",
            "address_2": "SUITE 320",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611556",
            "telephone_number": "847-918-0001",
            "fax_number": "847-918-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N MILWAUKEE AVE",
            "address_2": "SUITE 320",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611556",
            "telephone_number": "847-918-0001",
            "fax_number": "847-918-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISKER",
        "first_name": "WILLIAM",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuliya Kin-Kartsimas, M.D.
• John Nicholas Kiriklakis, M.D.
• Alexander Kiseloff, LISW-S, LCSW
• Kish Psychiatric Services & Consulting, P.L.L.C.
• Kisker Dental Associates, LTD.
• Kiva Recovery LLC
• Megan M Kivarkis, DT
• Dena Jill Klapperich, PSY.D.
• Gary Todd Klein, D.D.S.M.S
• Ioulia Klemens, RD, LDN

• General Practice Dentistry in Vernon Hills, IL
• Providers in Vernon Hills, 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 Nov 21, 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.

Verify at the official NPI Registry.