Anthony Francis Nizich, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1206 Issued in AK

Practice address

2219 Jordan Ave
Juneau, AK 99801-8050

Phone

(907) 789-7001

Fax

(907) 789-7008

NPI assigned

Oct 10, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Nizich Family Dental LLC

  • Dental Clinic/Center
  • Juneau, AK
  • NPI 1750008744
  NPD Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1457449373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 JORDAN AVE",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018050",
            "telephone_number": "907-789-7001",
            "fax_number": "907-789-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 JORDAN AVE",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018050",
            "telephone_number": "907-789-7001",
            "fax_number": "907-789-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIZICH",
        "first_name": "ANTHONY",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Allan Nichols
• Ian Niecko
• Kaili Nielsen, DPT
• Masayo Nishiyama
• Nizich Family Dental LLC
• Madison Nolan Grimes, CDM, CPM
• Montana Nolan
• Navyrena Nordgren
• Julia Noreen
• Sven Karl Noreen

• General Practice Dentistry in Juneau, AK
• Providers in Juneau, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.