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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. John David Kisella, D.D.S., M.D

Specialist in Matthews, NC · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174530562

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Registry record

Entity type Individual (Type 1)
Name Dr. John David Kisella
Credential D.D.S., M.D
Sex Male
Practice address 1208 Mann Dr, Suite 100, Matthews, NC, 28105
Fax (704) 849-2051
Enumeration date Aug 1, 2006
Last updated in NPPES Sep 11, 2025

Taxonomy & licenses

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 7871 (NC) Secondary
174400000X Specialist Other Service Providers Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify John Kisella's NPI record?
Cross-check NPI 1174530562 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1174530562 active?
Yes, as of the latest NPPES snapshot, NPI 1174530562 is active (record last updated 2025-09-11).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.