DR. JOHN SAMUEL NIZIC DMD
NPI 1215046834
Dentist - General Practice in Gresham, OR

Q: What is John Nizic's NPI number?

The NPI number for John Nizic is 1215046834. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Q: What is John Nizic's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for John Nizic was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 29, 2006

60 NW 2ND ST, GRESHAM, OR 97030(503) 665-3116(503) 665-3563 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Dr. John Samuel Nizic Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN SAMUEL NIZIC DMD (NPI 1215046834) is an individual general practice provider in Gresham, Oregon, licensed in Oregon (4650) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1215046834

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JOHN SAMUEL NIZICCredential: DMD

Location Address60 NW 2ND STGresham, OR 97030-7222

Mailing Address60 Nw 2nd StGresham, OR 97030-7222 · (503) 665-3116 · Fax (503) 665-3563

Phone(503) 665-3116

Fax(503) 665-3563

Sole ProprietorYes

Enumeration DateAugust 29, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1215046834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OR · 4650

Definition

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.

60 NW 2ND ST, Gresham, OR 97030

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACK ALAN HEMELSTRAND DMD

Dentist

60 NW 2ND ST
GRESHAM, OR 97030

Multnomah County (503) 665-3116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Nizic's NPI number?

The NPI number for John Nizic is 1215046834. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is John Nizic located?

John Nizic practices at 60 NW 2nd St, Gresham, OR 97030. The listed phone number is (503) 665-3116.

What is John Nizic's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for John Nizic was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.