Lisa M Dean, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS027372L Issued in PA

Practice address

117 S Main Rd
Mountain Top, PA 18707-1903

Phone

(570) 474-9960

NPI assigned

Jul 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Twisted Roots Chiropractic PC

  • Chiropractor
  • Mountain Top, PA
  • NPI 1487364006
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972522639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S MAIN RD",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187071903",
            "telephone_number": "570-474-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S MAIN RD",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187071903",
            "telephone_number": "570-474-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS027372L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "633974",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crestwood Pharmacy LLC
• Crestwood School District
• Data Makes the Difference, LLC
• Davis Nursing Home, Inc.
• Kristina Marie Davis, PHARM.D.
• Raphael Anthony Delgiorno, D.M.D.
• Trinna Delia
• Robyn M Docherty, LPC
• Robert A. Dompkosky, D.O.
• Adrian Anthony Dormans, MD

• General Practice Dentistry in Mountain Top, PA
• Providers in Mountain Top, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.