Kizior & Young Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12010318A Issued in IN

Legal business name

KIZIOR & YOUNG ORTHODONTICS

Practice address

2005 Saint Charles St
Suite 3
Jasper, IN 47546-2270

Phone

(812) 634-2040

Fax

(812) 482-7405

NPI assigned

Dec 17, 2009

Organization subpart

No

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

Authorized official

Name

Dr. John W Kizior, DDS.,MSDNPI 1780803668

Title

President

Phone

(812) 634-2040

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John William Kizior, D.D.S.,M.S.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jasper, IN
  • NPI 1780803668
  NPD (past) Authorized official
• Derrick R Young, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Evansville, IN
  • NPI 1437488665
  NPD (past)

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1184953325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 SAINT CHARLES ST",
            "address_2": "SUITE 3",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462270",
            "telephone_number": "812-634-2040",
            "fax_number": "812-482-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 SAINT CHARLES ST",
            "address_2": "SUITE 3",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462270",
            "telephone_number": "812-634-2040",
            "fax_number": "812-482-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIZIOR & YOUNG ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "KIZIOR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-634-2040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS.,MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "12010318A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmin Khattar, MD
• Abigail Josephine Kieffner, LCSW
• Edward Joseph Kimmel Jr., LCSW
• Grace Kindy
• Jason King, LMHC
• John William Kizior, D.D.S.,M.S.D.
• Lesley Suzanne Kizior, D.D.S.
• Ashleigh Kleiman
• Emily Michelle Klein, FNP
• Adam Joseph Klem, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Jasper, IN
• Providers in Jasper, IN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.