RONALD LISS (NPI# 1336220821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336220821 |
| Entity Type | Individual |
| Full Name | RONALD LISS |
| Credential | DDS |
| Practice Address |
1000 Grand Canyon Parkway Suite 106 Hoffman Estates IL 60169-1705 |
| Practice Telephone | 8475190600 |
| Practice Fax Number | 8475190693 |
| Mailing Telephone | 8475190600 |
| Mailing Fax Number | 8475190693 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2018-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
19022882 | IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 31552 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780793018 | Ronald A Liss | Emergency Medicine | 1101 Central Se, Pmg Emergency Medicine, Albuquerque, NM 87106 | 2006-08-30 |
| Street Address |
1000 GRAND CANYON PARKWAY SUITE 106 |
| City | HOFFMAN ESTATES |
| State | IL |
| Zip Code | 60169-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538639109 | Kathryn Grace Simpson | Behavioral Analyst | 2500 W Higgins Rd Suite 870, Hoffman Estates, IL 60169 | 2018-11-27 |
| 1821507195 | Anna Catsaros | Speech-Language Pathologist | 1030 W. Higgins Road, Hoffman Estates, IL 60169 | 2017-09-29 |
| 1831628908 | Htgr, Ltd | Dentist | 2200 N. Higgins Rd, Ste 335, Hoffman Estates, IL 60169 | 2017-06-12 |
| 1023541521 | Tamara M Nowak | Counselor | 2455 Dean St., Suite 3g, St. Charles, IL 60169 | 2017-04-11 |
| 1275995813 | Eraj Din | Pediatrics | 2500 W Higgins Rd Ste 440, Hoffman Estates, IL 60169 | 2016-03-23 |
| 1871965764 | Hameed U. Baig | Family Medicine | 1446 Della Drive, Hoffman Estates, IL 60169 | 2015-10-30 |
| 1316365620 | Eye See Optical Inc. | Clinical Medical Laboratory | 1071 W. Golf Rd., Hoffman Estates, IL 60169 | 2014-04-03 |
| 1093132284 | Elizabeth Sita | Psychiatry & Neurology | 1786 Moon Lake Blvd Ste 104, Hoffman Estates, IL 60169 | 2014-03-25 |
| 1881017895 | Katie Forsythe | Counselor | 990 Grand Canyon Pkwy Ste 420, Hoffman Estates, IL 60169 | 2014-01-27 |
| 1831447432 | Suma Karandikar | Counselor | 2500 W Higgins Rd Ste 570, Hoffman Estates, IL 60169 | 2012-08-29 |
| Find all providers in zip 60169 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982736559 | George Kotsakis | Dentist | 1585 N. Barrington Rd., #506, Hoffman Estates, IL 60169-5020 | 2007-03-09 |
| 1649286642 | Daniel Ian Chin Jr. | Dentist | 1585 Barrington Rd, Suite #203, Hoffman Estates, IL 60194-1090 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255986576 | Othman Rezki | Dentist | 1900 W Polk St # 611, Chicago, IL 60612-3723 | 2019-08-04 |
| 1215410584 | David Peterson | Dentist | 1619 Brandywine Ln, Dixon, IL 61021-8757 | 2018-09-12 |
| 1952887374 | Winnebago Braces, LLC. | Dentist | 555 N Court St Ste 110, Rockford, IL 61103-6898 | 2018-07-18 |
| 1093232951 | Robert C. Bosack, Dds & Associates, Ltd | Dentist | 16011 108th Ave Ste A, Orland Park, IL 60467-8787 | 2017-08-23 |
| 1790146132 | Family Millennium Dentistry, Inc. | Dentist | 1342 W Randolph St, Chicago, IL 60607-1522 | 2016-03-13 |
| 1770962375 | Eunsu Jung | Dentist | 1902 N Prospect Ave Ste 1, Champaign, IL 61822-1411 | 2015-05-28 |
| 1811374945 | Alexandria Hawkins | Dentist | 6050 Brynwood Dr Ste 102, Rockford, IL 61114-6579 | 2015-04-27 |
| 1043607872 | Alissa Nicole Pullos | Dentist | 105 E 1st St Ste 103, Hinsdale, IL 60521 | 2015-04-20 |
| 1538592654 | Matthew Seena Hamedani | Dentist | 3116 Oak Park Ave, Berwyn, IL 60402 | 2013-08-13 |
| 1578907689 | M Timothy Murphy | Dentist | 500 Davis St Ste 509, Evanston, IL 60201-4621 | 2013-04-18 |
| Find all providers with the same taxonomy | ||||
| City | HOFFMAN ESTATES |
| Zip Code | 60169 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.