Nizich Family Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NIZICH FAMILY DENTAL LLC

Practice address

2219 Jordan Ave
Juneau, AK 99801-8050

Phone

(907) 789-7001

Fax

(907) 789-7008

NPI assigned

Oct 20, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Francis Nizich, DMDNPI 1457449373

Title

Owner/Dentist

Phone

(907) 789-7001

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Anthony Francis Nizich, DMD

  • General Practice Dentistry
  • Juneau, AK
  • NPI 1457449373
  NPD Authorized official

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1750008744",
    "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": {
        "organization_name": "NIZICH FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "NIZICH",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "907-789-7001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Nichols
• Dennis Allan Nichols
• Ian Niecko
• Kaili Nielsen, DPT
• Masayo Nishiyama
• Anthony Francis Nizich, DMD
• Madison Nolan Grimes, CDM, CPM
• Montana Nolan
• Navyrena Nordgren
• Julia Noreen

• Dental Clinic/Center in Juneau, AK
• Providers in Juneau, AK by specialty
• Dental Clinic/Center 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.