DR. HARIS LAKISIC (NPI# 1427127281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427127281 |
| Entity Type | Individual |
| Full Name | DR. HARIS LAKISIC |
| Credential | DDS |
| Practice Address |
5565 Grossmont Center Dr La Mesa CA 91942-3020 |
| Mailing Address |
Po Box 17179 Irvine CA 92623-7179 |
| Practice Telephone | 6194643383 |
| Practice Fax Number | 6194642589 |
| Mailing Telephone | 9495673176 |
| Mailing Fax Number | 9495673185 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
53236 | CA | Dental Providers |
| Street Address |
5565 GROSSMONT CENTER DR |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-3020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871593756 | Robert W Foster | Internal Medicine | 5565 Grossmont Center Dr, Suite 1-105, La Mesa, CA 91942-3020 | 2005-07-21 |
| 1780227694 | Nassir A Azimi, Md, A Professional Corporation | Internal Medicine | 5565 Grossmont Center Dr, Bldg 3, Suite 444, La Mesa, CA 91942-3020 | 2019-10-23 |
| 1831546043 | Shawncey Mcpherson | Physician Assistant | 5565 Grossmont Center Dr, Bldg. 3, Suite 540, La Mesa, CA 91942-3020 | 2016-05-17 |
| 1669858361 | Jennifer Mcdonald | Nurse Practitioner | 5565 Grossmont Center Dr, Building 3, Ste 525, La Mesa, CA 91942-3020 | 2015-08-04 |
| 1184009458 | Biosolutions Clinical Research Center | Clinic/Center | 5565 Grossmont Center Dr, Building 3, Suite 256, La Mesa, CA 91941 | 2015-07-28 |
| 1104238682 | Shota Gurtch, M.d., Inc., A Professional Corporation | Family Medicine | 5565 Grossmont Center Dr, Bld 1 Ste 210, La Mesa, CA 91942-3020 | 2014-06-02 |
| 1790102127 | Randall W. Stettler, Dds, Inc | Dentist | 5565 Grossmont Center Dr, Building 1, Suite 129, La Mesa, CA 91942-3020 | 2014-03-24 |
| 1760723654 | Tms Therapeutics | Clinic/Center | 5565 Grossmont Center Dr, Suite 357, La Mesa, CA 91942-3020 | 2013-03-03 |
| 1043559859 | Dr. Karen E. Anderson, Apc | Podiatrist | 5565 Grossmont Center Dr, Suite 152, La Mesa, CA 91942-3020 | 2013-02-14 |
| 1013269182 | Ronald M Johnson Md Medical Corp | Surgery | 5565 Grossmont Center Dr, La Mesa, CA 91942-3020 | 2012-10-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
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| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144348442 | Eugene Isamu Sugita | Dentist | 8860 Center Dr Ste 430, La Mesa, CA 91942-7001 | 2007-03-26 |
| 1942348560 | John C Pawlak | Dentist | 7900 El Cajon Blvd Ste F, La Mesa, CA 91941-3655 | 2007-02-03 |
| 1457462228 | Michael Kevin Gavin | Dentist | 5680 Lake Murray Blvd Ste B, La Mesa, CA 91942-1905 | 2006-08-31 |
| 1881847044 | Brian Terumi Nagai | Dentist | 8860 Center Dr, Suite 430, La Mesa, CA 91942-3068 | 2008-10-30 |
| 1356500110 | Craig Deagle | Dentist | 7900 El Cajon Blvd, La Mesa, CA 91942-0607 | 2008-06-06 |
| 1366659203 | Allen J Wei | Dentist | 5308 Lake Murray Blvd, Suite A, La Mesa, CA 91942-1334 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578655 | Pinole Endodontics | Dentist | 2150 Appian Way Ste 207, Pinole, CA 94564-2520 | 2020-11-05 |
| 1518566702 | Sp Endodontics Partnershiop | Dentist | 1300 W Lodi Ave Ste N, Lodi, CA 95242-3038 | 2020-10-20 |
| 1215535661 | Ascella Justine Ronson | Dentist | 35395 Linda Rosea Rd, Temecula, CA 92592-9532 | 2020-10-16 |
| 1457964215 | Lars Bjorn Jonsson, D.d.s., M.s., Inc. | Dentist | 25261 Paseo De Valencia Ste 3, Laguna Hills, CA 92637-4966 | 2020-08-31 |
| 1952929333 | Noureldin Shoreibah Dds Inc | Dentist | 7677 Center Ave Ste 210, Huntington Beach, CA 92647-9103 | 2020-07-11 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1568091833 | M. Potti Dds Msd Inc | Dentist | 6400 Village Pkwy Ste 100, Dublin, CA 94568-3007 | 2020-04-07 |
| 1194356840 | Liang Dental Group Inc | Dentist | 5562 Philadelphia St Ste 211, Chino, CA 91710-2499 | 2020-01-31 |
| 1699313015 | Paul Erben Dmd Msd PC | Dentist | 937 E Main St Ste 204, Santa Maria, CA 93454-5309 | 2019-12-16 |
| 1396382495 | Narbeh Bandary Dental Corp | Dentist | 4910 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1718 | 2019-12-08 |
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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.