John William Kizior, D.D.S.,M.S.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12010318A Issued in IN

Practice address

2005 St Charles St
Suite 3
Jasper, IN 47546-9146

Phone

(812) 634-2040

Fax

(812) 482-7405

NPI assigned

Apr 25, 2007

Last updated

Apr 19, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Kizior & Young Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jasper, IN
  • NPI 1184953325
  NPD (past) Authorized official

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1780803668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 ST CHARLES ST",
            "address_2": "SUITE 3",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475469146",
            "telephone_number": "812-634-2040",
            "fax_number": "812-482-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 ST CHARLES ST",
            "address_2": "SUITE 3",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475469146",
            "telephone_number": "812-634-2040",
            "fax_number": "812-482-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIZIOR",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.S.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "12010318A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Josephine Kieffner, LCSW
• Edward Joseph Kimmel Jr., LCSW
• Grace Kindy
• Jason King, LMHC
• Kizior & Young Orthodontics
• Lesley Suzanne Kizior, D.D.S.
• Ashleigh Kleiman
• Emily Michelle Klein, FNP
• Adam Joseph Klem, MD
• Caitlynn Klem

• Orthodontics and Dentofacial Orthopedics Dentistry in Jasper, IN
• Providers in Jasper, IN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.