Active NPI
Kayla Lee Rizer, RDH, RDA
- Dental Hygienist
- Pontiac, MI
National Provider Identifier
1184194565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2902018457
- Practice address
- 816 Joslyn Ave
Pontiac, MI 48340-2919 - Phone
- (248) 758-1231
- NPI assigned
- Nov 28, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2902018457 | MI | Primary |
Addresses
Primary practice location
816 Joslyn Ave
Pontiac, MI 48340-2919
Mailing address
4750 Groveland Rd
Ortonville, MI 48462-9075
Phone (989) 295-4217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2902018457 | MI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543363200000",
"number": "1184194565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 GROVELAND RD",
"city": "ORTONVILLE",
"state": "MI",
"postal_code": "484629075",
"telephone_number": "989-295-4217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816 JOSLYN AVE",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483402919",
"telephone_number": "248-758-1231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIZER",
"first_name": "KAYLA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "RDH, RDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-28",
"last_updated": "2018-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MI",
"license": "2902018457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.