Individual provider Active NPI

Kalman J Knizner, DDS

  • Dentist
  • Flint, MI
National Provider Identifier
1396803508
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11586 Issued in MI
Practice address
5529 Richfield Rd
Flint, MI 48506
Phone
(810) 250-0400
Fax
(810) 250-0488
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11586 MI Primary

Addresses

Primary practice location

5529 Richfield Rd
Flint, MI 48506

Mailing address

5529 Richfield Rd
Flint, MI 48506
Phone (810) 250-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160606002188 MI Order and Referring Only - DentistPractitioner - Dentist 3375833296

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11586MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kalman Knizner, DDS, PC PastSince Jun 26, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396803508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5529 RICHFIELD RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48506",
            "telephone_number": "810-250-0400",
            "fax_number": "810-250-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5529 RICHFIELD RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48506",
            "telephone_number": "810-250-0400",
            "fax_number": "810-250-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIZNER",
        "first_name": "KALMAN",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "11586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.