Active NPI
Nisha Liz John, DDS
- General Practice Dentistry
- Arlington, TX
National Provider Identifier
1669776464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN10271
- Practice address
- 1900 East Pioneer Parkway
Arlington, TX 76010 - Phone
- (803) 446-2831
- NPI assigned
- Jan 7, 2011
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN10271 | CO | Primary |
Addresses
Primary practice location
1900 East Pioneer Parkway
Arlington, TX 76010
Mailing address
12040 Ashaway Lane
Frisco, TX 75035-3038
Phone (803) 446-2831
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 |
|---|---|---|---|
| DEN10271 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nisha Liz John P.L.L.C | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469750400000",
"number": "1669776464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12040 ASHAWAY LANE",
"city": "FRISCO",
"state": "TX",
"postal_code": "750353038",
"telephone_number": "803-446-2831",
"fax_number": "719-583-1801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 EAST PIONEER PARKWAY",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "76010",
"telephone_number": "803-446-2831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHN",
"first_name": "NISHA",
"middle_name": "LIZ",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-07",
"last_updated": "2016-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "DEN10271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.