Anna Lisin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60065361 Issued in WA

Practice address

5712 E Lake Sammamish Pkwy SE Ste 108
Issaquah, WA 98029-8943

Phone

(425) 392-3900

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

Yes

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

State licenses

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.

• Lake Sammamish Family Dentistry

  • General Practice Dentistry
  • Issaquah, WA
  • NPI 1093036709
  NPD (past) Authorized official
• Dr. Dhaliwal DMD PLLC

  • Dental Clinic/Center
  • Issaquah, WA
  • NPI 1992551725
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269907200000",
    "number": "1447334222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5712 E LAKE SAMMAMISH PKWY SE STE 108",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980298943",
            "telephone_number": "425-392-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5712 E LAKE SAMMAMISH PKWY SE STE 108",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980298943",
            "telephone_number": "425-392-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISIN",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60065361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Marie Lindberg, LMHC
• Daniel Nathan Lindner, PA-C
• Pamela K Lindsey
• Links Social Services
• Lisa M. Hunter Ma PLLC
• Gabriela Lisy, LMHCA
• Vikki Littleman, OTRL
• Kaitlin Litvak
• Fang-Yin Liu, OTR/L
• Jay Jia Liu, PHARMD

• General Practice Dentistry in Issaquah, WA
• Providers in Issaquah, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.