Kevin A Kizer, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

9266 Issued in NC

Practice address

2311 Lewisville Clemmons Rd Ste 301
Clemmons, NC 27012-8905

Phone

(336) 631-4770

Fax

(336) 631-4558

NPI assigned

Aug 5, 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Children's Dentistry PLLC

  • Pediatric Dentistry
  • Nampa, ID
  • NPI 1932372026
  NPD (past) Authorized official
• Children's Dentistry of Idaho, PLLC

  • Pediatric Dentistry
  • Nampa, ID
  • NPI 1689942849
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1316956568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 W IOWA AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862856",
            "telephone_number": "208-467-5100",
            "fax_number": "208-467-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 LEWISVILLE CLEMMONS RD STE 301",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128905",
            "telephone_number": "336-631-4770",
            "fax_number": "336-631-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIZER",
        "first_name": "KEVIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "9266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805756700",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "6E060",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Kingery, D.D.S.
• William H. Kingery Sr., D.D.S.
• Kirk a. Turner, DDS, PA (Clemmons Family Dental)
• Kelly Elizabeth Kirkpatrick, MS, LAT, ATC
• Stephen Walter Kirley, MD
• Keesha Kline
• Timothy Kmen
• Lynora Lee Knott
• Stuart Allan Kossover, MD
• Kostelic & Associates, PLLC (Clemmons Village Smiles)

• Pediatric Dentistry in Clemmons, NC
• Providers in Clemmons, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.