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STEPHANIE P. LISS D.D.S.
NPI 1497814420
Dentist in Chicago, IL

Active since December 06, 2006Opted out of Medicare · through Nov 15, 2027
5200 S ARCHER AVE, CHICAGO, IL 60632(773) 581-1345(773) 581-0013 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie P. Liss D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE P. LISS D.D.S. (NPI 1497814420) is an individual dentist in Chicago, Illinois and active in the NPI registry since December 2006. She has opted out of Medicare through November 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1497814420
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSTEPHANIE P. LISSCredential: D.D.S.
Location Address5200 S ARCHER AVEChicago, IL 60632-4772
Mailing Address5200 S Archer AveChicago, IL 60632-4772 · (773) 581-1345 · Fax (773) 581-0013
Phone(773) 581-1345
Fax(773) 581-0013
Sole ProprietorYes
Enumeration DateDecember 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1497814420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
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.
5200 S ARCHER AVE, Chicago, IL 60632
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Stephanie P. Liss D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 15, 2017 through November 15, 2027.

Opt-Out Effective DateNovember 15, 2017
Opt-Out In Effect ThroughNovember 15, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60632 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALIAKSANDR SHABANOVICH
Dentist
5200 S ARCHER AVE
CHICAGO, IL 60632
Cook County (773) 581-1345
DOUGLAS C. GEE D.D.S.
Dentist
5200 S ARCHER AVE
CHICAGO, IL 60632
Cook County (773) 581-1345
DR. DOUGLAS C. GEE LTD. DBA ARCHER DENTAL CARE
Dentist (General Practice)
5200 S ARCHER AVE
CHICAGO, IL 60632
Cook County (773) 581-1345

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Liss's NPI number?

The NPI number for Stephanie Liss is 1497814420. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Stephanie Liss located?

Stephanie Liss practices at 5200 S Archer Ave, Chicago, IL 60632. The listed phone number is (773) 581-1345.

What is Stephanie Liss's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Stephanie Liss enrolled in Medicare?

No. Stephanie Liss has opted out of Medicare through November 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Stephanie Liss was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.