Active NPI
Shari N. Lisann, D.M.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Brookline, MA
National Provider Identifier
1649335282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 16176
- Practice address
- 651 Washington Street
Suite 100
Brookline, MA 02446 - Phone
- (617) 738-4746
- Fax
- (617) 738-3334
- NPI assigned
- Dec 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 16176 | MA | Primary |
Addresses
Primary practice location
651 Washington Street
Suite 100
Brookline, MA 02446
Mailing address
651 Washington Street
Suite 100
Brookline, MA 02446
Phone (617) 738-4746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16176 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510012800000",
"number": "1649335282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "651 WASHINGTON STREET",
"address_2": "SUITE 100",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "02446",
"telephone_number": "617-738-4746",
"fax_number": "617-738-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 WASHINGTON STREET",
"address_2": "SUITE 100",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "02446",
"telephone_number": "617-738-4746",
"fax_number": "617-738-3334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISANN",
"first_name": "SHARI",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-26",
"last_updated": "2017-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MA",
"license": "16176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.