Ranko Lisul, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN1858636 Issued in MA

Practice address

900 Cummings Ctr Ste 106T
Beverly, MA 01915-6196

Phone

(978) 922-4200

NPI assigned

Feb 14, 2018

Last updated

Jun 18, 2022By 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 MA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ranko Lisul DMD PC

  dba Dentistry of Chelmsford

  • Dental Clinic/Center
  • North Chelmsford, MA
  • NPI 1841005840
  NPD Authorized official
• Bozidar L Kuljic, DDS PC

  • Periodontics
  • Beverly, MA
  • NPI 1205852951
  NPD (past)

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655510400000",
    "number": "1508366725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CUMMINGS CTR STE 106T",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156196",
            "telephone_number": "978-922-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CUMMINGS CTR STE 106T",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156196",
            "telephone_number": "978-922-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISUL",
        "first_name": "RANKO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-14",
        "last_updated": "2022-06-18",
        "certification_date": "2022-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1858636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Byung Ki Lim
• Vita Limoli
• Jenna Susan Linehan, RD
• Victoria Yanel Lino Alvarez
• Tamar Lipof, MD
• Anne Spires Litsey
• Ryan L Livingston, CPHT
• Vickyjean Locke, MA
• Piera M Locontro, RD
• April Loeu

• Dentist in Beverly, MA
• Providers in Beverly, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2022; 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.