William Liska, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

104712 Issued in CA

Practice address

384 Hartnell Ave Ste a
Redding, CA 96002-1884

Phone

(530) 241-3302

NPI assigned

Oct 27, 2017

Sex

Male

Sole proprietor

Yes

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

Locations

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.

• Blasingame Dental Corporation

  • Periodontics
  • Stockton, CA
  • NPI 1508624222
  NPD
• Eric Blasingame DDS, Ms, Inc

  • Periodontics
  • Redding, CA
  • NPI 1720227812
  NPD (past)

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1891207015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 HARTNELL AVE STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021884",
            "telephone_number": "530-241-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 HARTNELL AVE STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021884",
            "telephone_number": "530-241-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISKA",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-27",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "104712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stan Wayne Linnet, PHARM.D.
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• Jordan Michael Lippmann, PHARM.D.
• Emilie Megan Liron, OTR/L
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• Kathleen Littlepage
• Kacia Littleton, SUDRCI

• Periodontics in Redding, CA
• Providers in Redding, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.