Mazin Sabri Kizy, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901017677 Issued in MI

Practice address

2720 Burningbush Dr
Sterling Heights, MI 48314-4526

Phone

(586) 873-3287

NPI assigned

May 10, 2006

Last updated

Oct 10, 2023By the provider in NPPES

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

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

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lapeer Family Dental PLLC

  dba Advanced Dental Lapeer

  • General Practice Dentistry
  • Sterling Heights, MI
  • NPI 1457131682
  NPD Authorized official

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1447209077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 BURNINGBUSH DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483144526",
            "telephone_number": "586-873-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 BURNINGBUSH DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483144526",
            "telephone_number": "586-873-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIZY",
        "first_name": "MAZIN",
        "middle_name": "SABRI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901017677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Kiryakoza
• Pradeep Andrew Kissoondial, D.D.S.
• Jessica Kistuline
• Julianna Kitter
• Janice B Kizy, LMSW
• Nicholas Kizy, DDS
• Otto Kevin Klanow, D.D.S. M.S.
• Patricia Marie Klatzke, RPH
• Calvin Klebba
• Jaclyn Klein

• Dentist in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.