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Deactivated NPI 1386723963 Deactivated / Inactive NPI Male Practitioner

Dr. John W Kizziar , DDS

Dentist - General Practice • Hayfork, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Kizziar has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 03, 2006
NPI Deactivation Date March 12, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. John Kizziar, DDS was a registered Dentist - General Practice practicing in Hayfork, CA. Throughout an active medical career spanning 20 years, Dr. Kizziar provided care at the practice location at #1 BRADY ROAD until profile deactivation on 2026-03-12.

Practice Location & Contact Primary Location

Practice Address

#1 Brady Road

Hayfork, CA 960410036

Telephone 5306284271
Fax 5306284064

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Hayfork, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Hayfork, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 19444

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 12, 2026

Record deactivated on March 12, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at #1 BRADY ROAD, HAYFORK, CA 960410036 (Tel: 5306284271)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 36, #1 BRADY ROAD, HAYFORK, CA 960410036 (Tel: 5306284271)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN KIZZIAR, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #19444 in CA)

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Initial NPI Registration & Enumeration November 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386723963
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2006
Last Update: July 08, 2007
Deactivation Date: March 12, 2026

Mailing Address

Po Box 36, #1 Brady Road

Hayfork, CA 960410036

Phone: 5306284271

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.