Paul L Kadzik, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5272 Issued in WA

Practice address

14315 62ND Ave NW
Gig Harbor, WA 98332-8664

Phone

(253) 851-4025

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 6, 2016 through Oct 6, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jordan Priess DDS PLLC

  • Dental Clinic/Center
  • Gig Harbor, WA
  • NPI 1659210896
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174534986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3518 HARBORVIEW DR",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983322128",
            "telephone_number": "253-851-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14315 62ND AVE NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328664",
            "telephone_number": "253-851-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADZIK",
        "first_name": "PAUL",
        "middle_name": "L",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "5272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lee Joy
• Lisa Jump, MS
• Katherine June
• Jill Lyn Jurkowski, LMP
• Justin H. Piasecki, M.D., PLLC
• Erica Kafka, PA-C
• Alicia Ann Kain, DPT
• Kaiser Foundation Health Plan of Washington
• Carla Jane Kanieski
• Raymond Jui-Lung Kao, D.M.D.

• Dentist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.