NPIMap

Organization Active NPI

Philip a Lisk, DDS, PA

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1457453581
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6746 Issued in NC
Legal business name
PHILIP A LISK, DDS, PA
Practice address
901 Paverstone Dr
A
Raleigh, NC 27615-4710
Phone
(919) 870-6892
Fax
(919) 870-1746
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Authorized official

Name
Dr. Philip Alan Lisk, DDSNPI 1134303738
Title
President
Phone
(919) 870-6892

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6746 NC Primary

Addresses

Primary practice location

901 Paverstone Dr
A
Raleigh, NC 27615-4710

Mailing address

901 Paverstone Dr
A
Raleigh, NC 27615-4710
Phone (919) 870-6892

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1457453581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 PAVERSTONE DR",
            "address_2": "A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154710",
            "telephone_number": "919-870-6892",
            "fax_number": "919-870-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PAVERSTONE DR",
            "address_2": "A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154710",
            "telephone_number": "919-870-6892",
            "fax_number": "919-870-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP A LISK, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "LISK",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-870-6892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.