Individual provider Active NPI

Kunal Kanani, DMD

  • General Practice Dentistry
  • Sandusky, OH
National Provider Identifier
1013261080
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.026779 Issued in OH
Practice address
420 Superior St
Sandusky, OH 44870-1849
Phone
(419) 626-5623
NPI assigned
Oct 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.026779 OH Primary

Addresses

Primary practice location

420 Superior St
Sandusky, OH 44870-1849

Mailing address

420 Superior St
Sandusky, OH 44870-1849
Phone (419) 626-5623

Other practice location 1

117 Addison St
Kelleys Island, OH 43438-6500
Phone (567) 867-5174

Other practice location 2

316 Mason Rd W
Milan, OH 44846-9500
Phone (567) 867-5174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.026779OHMDGeneral Practice Dentistry

Networks

  • KY PPO C-SNP
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9

Interoperability endpoints

  • Direct secure messaging: kunal.kananidmd.p1@direct.ecchc.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1013261080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SUPERIOR ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448701849",
            "telephone_number": "419-626-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 SUPERIOR ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448701849",
            "telephone_number": "419-626-5623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Addison St",
            "address_purpose": "LOCATION",
            "city": "Kelleys Island",
            "state": "OH",
            "postal_code": "434386500",
            "country_code": "US",
            "telephone_number": "567-867-5174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "316 Mason Rd W",
            "address_purpose": "LOCATION",
            "city": "Milan",
            "state": "OH",
            "postal_code": "448469500",
            "country_code": "US",
            "telephone_number": "567-867-5174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANANI",
        "first_name": "KUNAL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-30",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.026779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.