DR. JUSTIN WILLIAM LISKA D.D.S.
NPI 1912290453
Dentist - Oral and Maxillofacial Surgery in Conroe, TX

Active since May 17, 2011Opted out of Medicare · through Mar 24, 2028
2249 N LOOP 336 W, SUITE A, CONROE, TX 77304(936) 441-8180(936) 441-1905 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Justin William Liska D.d.s. NPPES

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

DR. JUSTIN WILLIAM LISKA D.D.S. (NPI 1912290453) is an individual oral and maxillofacial surgery provider in Conroe, Texas, licensed in Texas (31680) and active in the NPI registry since May 2011. He has opted out of Medicare through March 24, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1912290453
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JUSTIN WILLIAM LISKACredential: D.D.S.
Location Address2249 N LOOP 336 W, SUITE AConroe, TX 77304-3639
Mailing Address2249 N Loop 336 W, Suite AConroe, TX 77304-3639 · (713) 542-7001
Fax(936) 441-1905
Sole ProprietorNo
Enumeration DateMay 17, 2011
Last NPPES UpdateAugust 30, 2016
NPI 1912290453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in TX · 31680
Definition
An oral and maxillofacial surgery dentist specialized in 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.
2249 N LOOP 336 W, Conroe, TX 77304

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Justin William Liska 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 March 24, 2016 through March 24, 2028.

Opt-Out Effective DateMarch 24, 2016
Opt-Out In Effect ThroughMarch 24, 2028Opt-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 77304 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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 Justin Liska's NPI number?

The NPI number for Justin Liska is 1912290453. It was assigned to this individual provider in the NPPES registry on May 17, 2011.

Where is Justin Liska located?

Justin Liska practices at 2249 N Loop 336 W Suite A, Conroe, TX 77304. The listed phone number is (936) 441-8180.

What is Justin Liska's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Justin Liska enrolled in Medicare?

No. Justin Liska has opted out of Medicare through March 24, 2028. 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.

What insurance does Justin Liska accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Justin Liska 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 Justin Liska was last updated on August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.