MS. LISA BUSH (NPI# 1326022856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326022856 |
| Entity Type | Individual |
| Full Name | MS. LISA BUSH |
| Credential | DENTIST |
| Practice Address |
401 Holly Hills Ave Saint Louis MO 63111-2410 |
| Practice Telephone | 3144811615 |
| Practice Fax Number | 3143531310 |
| Mailing Telephone | 3144811615 |
| Mailing Fax Number | 3143531310 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 015217 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659402915 | Lisa N. Bush | Nurse Practitioner | 13262 Hwy 26 East, Davisboro, GA 31018 | 2007-03-08 |
| 1306382171 | Lisa M Bush | Nurse Practitioner | 3400 Civic Center Blvd, 3rd Floor, Phila, PA 19104-5127 | 2017-01-17 |
| 1710387881 | Lisa Bush | Genetic Counselor, MS | 1000 Johnson Ferry Road Ne, Atlanta, GA 30342-1611 | 2014-08-26 |
| 1689095358 | Lisa Renee Bush | Social Worker | 789 N Clare Ave, Harrison, MI 48625-9194 | 2013-12-26 |
| 1205184470 | Lisa Bush | Physician Assistant | 5151 State University Dr, Los Angeles, CA 90032-4226 | 2012-08-20 |
| 1528372380 | Lisa D Bush | Physician Assistant | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2010-08-03 |
| Street Address |
401 HOLLY HILLS AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63111-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508867508 | Family Care Health Centers | Clinic/Center | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2005-08-02 |
| 1235758582 | Carmen Diane Purvis | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2020-04-15 |
| 1366071672 | Jessica Therese Auld | Family Medicine | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2020-04-07 |
| 1386273662 | Anthony Hang | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2020-04-07 |
| 1376172650 | Ryan Eric Allen | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2020-04-07 |
| 1710516091 | Dymon Morgan | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2020-04-07 |
| 1700433695 | Jessica Dawn Whitchurch | Nurse Practitioner | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2019-08-25 |
| 1790340438 | Marco Samuel Garcia | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111 | 2019-05-08 |
| 1902460231 | Hannah Jacobs Webber | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2019-04-22 |
| 1699238204 | Jacquelyn Adele Bailey | Student in an Organized Health Care Education/Training Program | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291660 | Ebony Cannon | Behavior Technician | 7700 Minosotta Ave, St.louis, MO 63111 | 2018-07-06 |
| 1811310212 | Danny Brown | Home Health | 5328 Virginia, Saint Louis, MO 63111 | 2014-01-22 |
| 1548387681 | Raymond Joseph Skosky | Dentist | 5530 Virginia Avenue, Saint Louis, MO 63111 | 2007-03-23 |
| 1972666782 | Diane P Hamill | Optometrist | 1012 Loughborough Commons, St. Louis, MO 63111 | 2006-12-19 |
| 1073673828 | Bethesda Long Term Care, Inc. | Custodial Care Facility | 4431 South Broadway, St. Louis, MO 63111 | 2006-12-11 |
| 1669542668 | Anna D Naumovich | Internal Medicine | 5205 South Grand Ave, St Louis, MO 63111 | 2006-11-08 |
| 1417040114 | Tony Thien Tang | Internal Medicine | 4675 South Grand Blvd., St. Louis, MO 63111 | 2006-10-02 |
| 1790736171 | Robert Clarence Egan | Surgery | 3535 South Jefferson Ste 101, Ste 101, St Louis, MO 63111 | 2006-05-12 |
| 1154717593 | Nucrown, LLC | Optometrist | 1012 Loughborough Commons, Saint Louis, MO 63111 | 2015-04-13 |
| 1598070765 | Irene S Paul | Pharmacist | 1020 Loughborough Ave, Saint Louis, MO 63111 | 2010-08-12 |
| Find all providers in zip 63111 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326670 | Amani Abdulateef | Dentist | 4016 Lemay Ferry Rd, Saint Louis, MO 63129-1858 | 2020-08-16 |
| 1043828627 | Tara Elizabeth Habibi | Dentist | 3422 Utah St Fl 2, Saint Louis, MO 63118-2727 | 2020-07-20 |
| 1548817448 | Lauren Elizabeth Kessinger | Dentist | 2821 N Ballas Rd Ste 160, Saint Louis, MO 63131-2376 | 2019-08-25 |
| 1275193229 | Ryan Michael Mulligan | Dentist | 621 S New Ballas Rd Ste 10a, Saint Louis, MO 63141-8239 | 2019-06-20 |
| 1962993246 | Todd J Wind Enterprises LLC | Dentist | 12818 Tesson Ferry Rd Ste 2o2, Saint Louis, MO 63128-2945 | 2018-05-23 |
| 1396274098 | Darren Cartwright, Dds, P.C. | Dentist | 9960 Kennerly Rd Ste B, Saint Louis, MO 63128-3075 | 2017-06-06 |
| 1962936765 | Alex Sharifian Dds Rock Hill Dentistry PC | Dentist | 9601 Manchester Rd, Saint Louis, MO 63119-1333 | 2017-04-18 |
| 1467983973 | Westport Dental LLC | Dentist | 77 W Port Plz, Suite No. 251, Saint Louis, MO 63146-3107 | 2017-03-26 |
| 1427506781 | Karim Allahdina | Dentist | 3331 Locust St, 301, Saint Louis, MO 63103-1154 | 2016-09-15 |
| 1508217480 | Kevin Charles Kaiser | Dentist | 3890 S Lindbergh Blvd Ste 115, Saint Louis, MO 63127-1391 | 2016-06-22 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63111 |
Please comment or provide details below to improve the information on MS. LISA BUSH.
| 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.