NPIMap

Organization Active NPI

Steven J Kizior,DDS PLLC

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1740459775
Registry record updated Feb 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7693 Issued in NC
Legal business name
STEVEN J KIZIOR,DDS PLLC
Practice address
5306 Six Forks Rd Ste 109
Raleigh, NC 27609-4468
Phone
(919) 789-4166
NPI assigned
Feb 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2008

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

Authorized official

Name
Dr. Steven J KiziorNPI 1629001995
Title
President
Phone
(919) 789-4166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7693 NC Primary

Addresses

Primary practice location

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

Mailing address

5306 Six Forks Rd Ste 109
Raleigh, NC 27609-4468
Phone (919) 789-4166

Other identifiers 1

IdentifierTypeStateIssuer
89902NJMedicaidNC

National Provider Directory

National Provider Directory

Locations

5306 Six Forks Rd
Ste 109
Raleigh, NC 27609
Phone (919) 789-4166

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203811200000",
    "number": "1740459775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5306 SIX FORKS RD STE 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094468",
            "telephone_number": "919-789-4166"
        },
        {
            "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": {
        "organization_name": "STEVEN J KIZIOR,DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-24",
        "last_updated": "2008-02-24",
        "status": "A",
        "authorized_official_last_name": "KIZIOR",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-789-4166",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902NJ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2008; 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.