Lissa Cisneros, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D13670 Issued in MN

Practice address

135 Opportunity Blvd S
Cambridge, MN 55008-1238

Phone

(763) 689-1554

NPI assigned

May 17, 2016

Last updated

Apr 12, 2017By 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

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.

• Matthew J Peterson, DDS, PA

  dba Cambridge Dental Center

  • Dental Clinic/Center
  • Cambridge, MN
  • NPI 1366539082
  NPD (past)

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1740637941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 OPPORTUNITY BLVD S",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081238",
            "telephone_number": "763-689-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 OPPORTUNITY BLVD S",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081238",
            "telephone_number": "763-689-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISNEROS",
        "first_name": "LISSA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Chartier
• Elizabeth Marie Cheney
• Jocelyn Diane Chesson, DNP-FNP-C, APRN
• Chadwick Aaron Christenson, O.D.
• Alejandro Cisneros, DDS
• Faith Lynn Combel
• Comprehensive Health Clinics, P.a. (Cambridge Chiropractic)
• Sandra Maureen Connell, OD
• Corner Medical LLC (Corner Home Medical)
• County of Isanti (Isanti County Public Health)

• General Practice Dentistry in Cambridge, MN
• Providers in Cambridge, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.

Verify at the official NPI Registry.