Alicia C Krizan

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

5573016 Issued in WI

Practice address

1250 Prairie St
Prairie Du Sac, WI 53578-2041

Phone

(608) 643-8505

Fax

(608) 643-8097

NPI assigned

Oct 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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.

• Village Family Dental Assocs.

  • General Practice Dentistry
  • Prairie Du Sac, WI
  • NPI 1407831209
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922197102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 PRAIRIE ST",
            "address_2": "PO BOX 39",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535782041",
            "telephone_number": "608-643-8505",
            "fax_number": "608-643-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 PRAIRIE ST",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535782041",
            "telephone_number": "608-643-8505",
            "fax_number": "608-643-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIZAN",
        "first_name": "ALICIA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "5573016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori E King, LCSW
• Breana Kirch
• Bruce M Koch, OD
• Kristin Kolodziej, ATC
• Carly Marie Kraemer, LAT
• Brieanne M Laberge, DDS
• Yuen Sim Lai, PHARM D
• Michael D. C. Lamson, M.D.
• Katherine Ann Larson, MD
• Wendy Marie Ledesma, MD

• Dental Hygienist in Prairie Du Sac, WI
• Providers in Prairie Du Sac, WI by specialty
• Dental Hygienist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.