Individual provider Active NPI

Steven Joseph Kizior

  • Dentist
  • Raleigh, NC
National Provider Identifier
1629001995
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7693 Issued in NC
Practice address
5306 Six Forks Rd Ste 109
Raleigh, NC 27609-4468
Phone
(919) 789-4166
NPI assigned
Jul 9, 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 7693 NC Primary

Addresses

Primary practice location

5306 Six Forks Rd Ste 109
Raleigh, NC 27609-4468

Mailing address

307 Hogans Valley Way
Cary, NC 27513-5682
Phone (919) 946-0294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20160525000478 NC Order and Referring Only - DentistPractitioner - Dentist 9335438761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7693NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven J Kizior,DDS PLLC Past 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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629001995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 HOGANS VALLEY WAY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275135682",
            "telephone_number": "919-946-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5306 SIX FORKS RD STE 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094468",
            "telephone_number": "919-789-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIZIOR",
        "first_name": "STEVEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "7693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.