NPIMap

Organization Active NPI

Kisker Dental Associates, LTD.

  • Dental Clinic/Center
  • Vernon Hills, IL
National Provider Identifier
1891984852
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KISKER DENTAL ASSOCIATES, LTD.
Doing business as
Dental Care of Vernon Hills
Practice address
701 N Milwaukee Ave
Suite 320
Vernon Hills, IL 60061-1556
Phone
(847) 918-0001
Fax
(847) 918-8714
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Dr. William Ryan Kisker, DMDNPI 1437205143
Title
President
Phone
(847) 918-0001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

701 N Milwaukee Ave
Suite 320
Vernon Hills, IL 60061-1556

Mailing address

701 N Milwaukee Ave
Suite 320
Vernon Hills, IL 60061-1556
Phone (847) 918-0001

Other names 1

  • Dental Care of Vernon Hills Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Care of Kenosha2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

701 N Milwaukee Ave
Ste 320
Vernon Hills, IL 60061
Phone (847) 918-0001

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1891984852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N MILWAUKEE AVE",
            "address_2": "SUITE 320",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611556",
            "telephone_number": "847-918-0001",
            "fax_number": "847-918-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N MILWAUKEE AVE",
            "address_2": "SUITE 320",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611556",
            "telephone_number": "847-918-0001",
            "fax_number": "847-918-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISKER DENTAL ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "KISKER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-918-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care of Vernon Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vernon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.