Lissa Disparano Gilreath, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9173 Issued in SC

Practice address

241 Stork Way
Seneca, SC 29678-1039

Phone

(864) 888-3102

NPI assigned

Jul 9, 2018

Last updated

Jul 9, 2018By the provider in NPPES

Sex

Female

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

State licenses

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1538655980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WOODBURY CIR",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296873758",
            "telephone_number": "864-404-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 STORK WAY",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781039",
            "telephone_number": "864-888-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILREATH",
        "first_name": "LISSA",
        "middle_name": "DISPARANO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Hampton Gibson, PHARMD
• Jeffrey Kent Giguere, MD
• Beatriz Elena Gil-Stewart, DO
• Osceola P. Gilbert III, M.D.
• Carolyn Bethea Gilliam, PT, DPT
• Samantha Lauren Giroux, PHARMD
• Jessica Taylor Glymph, FNP
• Golden Corner Internal Medicine PA
• Ronald D Gooden, AU.D
• Stacie Marie Goodwin, OTR/L

• General Practice Dentistry in Seneca, SC
• Providers in Seneca, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.