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ADAM LYSAK DDS
NPI 1629569553
Student in an Organized Health Care Education/Training Program in Port Washington, WI

Active since May 26, 2018
457 W GRAND AVE, PORT WASHINGTON, WI 53074(262) 284-9011 Get Directions Write a Review

NPPES record last updated: May 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Adam Lysak Dds NPPES

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

ADAM LYSAK DDS (NPI 1629569553) is an individual student in an organized health care education/training program in Port Washington, Wisconsin and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1629569553
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameADAM LYSAKCredential: DDS
Location Address457 W GRAND AVEPort Washington, WI 53074-2143
Mailing Address457 W Grand AvePort Washington, WI 53074-2143
Phone(262) 284-9011
Sole ProprietorNo
Enumeration DateMay 26, 2018
✔ NPI 1629569553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
457 W GRAND AVE, Port Washington, WI 53074
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES

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

DR. ROBERT ANDREW KORTSCH DDS
Dentist
457 W GRAND AVE
PORT WASHINGTON, WI 53074
Ozaukee County (262) 284-9011

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 Adam Lysak's NPI number?

The NPI number for Adam Lysak is 1629569553. It was assigned to this individual provider in the NPPES registry on May 26, 2018.

Where is Adam Lysak located?

Adam Lysak practices at 457 W Grand Ave, Port Washington, WI 53074. The listed phone number is (262) 284-9011.

What is Adam Lysak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

What insurance does Adam Lysak accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental Plan of Oregon and Humana and 1 other insurer list Adam Lysak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Adam Lysak was last updated on May 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.