Dennis M Liston MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME-0059446 Issued in FL

Legal business name

DENNIS M LISTON MD PA

Practice address

2151 E Commercial Blvd
Suite 304
Fort Lauderdale, FL 33308-4347

Phone

(954) 492-4525

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dennis Michael Liston, M.D. P.ANPI 1316995855

Title

Ceo

Phone

(954) 492-4525

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dennis M Liston M.D. P.A. Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 1

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

• Dennis Michael Liston, M.D. P.A

  • Psychiatry Physician
  • Fort Lauderdale, FL
  • NPI 1316995855
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1619989308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 E COMMERCIAL BLVD",
            "address_2": "SUITE 304",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084347",
            "telephone_number": "954-492-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 E COMMERCIAL BLVD",
            "address_2": "SUITE 304",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084347",
            "telephone_number": "954-492-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS M LISTON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "LISTON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-492-4525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. P.A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME-0059446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277406200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dennis M Liston M.D. P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carla Lynn Denahan
• Francesca Denicola
• Denise Douglas Dba
• Sarah Denkert
• John Wayne Denman
• Ashley Marie Dennis, PMHNP-BC
• Carl F Dennison
• Myriam Denose, NP
• Tamika Denson I, RCSWI
• Dental Care Group Ft Lauderdale LLC

• Psychiatry Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.