Individual provider Active NPI

David M. Kanze, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Wynnewood, PA
National Provider Identifier
1053533851
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
OS018844 Issued in PA
Practice address
300 E Lancaster Ave Ste 201B
Wynnewood, PA 19096-2146
Phone
(267) 437-3299
Fax
(158) 481-6002
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X OP60448689 WA
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 47690 CO
Family Medicine Physician 207Q00000X OS018844 PA
Family Medicine Physician 207Q00000X 47690 CO
Family Medicine Physician 207Q00000X OP60448689 WA
Neuromusculoskeletal Medicine & OMM Physician 204D00000X OS018844 PA Primary

Addresses

Primary practice location

300 E Lancaster Ave Ste 201B
Wynnewood, PA 19096-2146

Mailing address

300 E Lancaster Ave Ste 201B
Wynnewood, PA 19096-2146
Phone (267) 437-3299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240718003239 PA Practitioner - Osteopathic Manipulative Medicine 9830221597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Philadelphia College of Osteopathic Medicine, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

300 E Lancaster Ave
Suite 201B
Wynnewood, PA 19096-2146
Phone (267) 437-3299

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
47690COMDNeuromusculoskeletal Medicine & OMM Physician
OS018844PAMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
K2 Osteopathic, LLC Neuromusculoskeletal Medicine & Omm CurrentSince May 1, 2024 Accepting new patients

Locations

300 E Lancaster Ave
Ste 201B
Wynnewood, PA 19096
Phone (267) 437-3299

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1053533851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E LANCASTER AVE STE 201B",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962146",
            "telephone_number": "267-437-3299",
            "fax_number": "158-481-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E LANCASTER AVE STE 201B",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962146",
            "telephone_number": "267-437-3299",
            "fax_number": "158-481-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANZE",
        "first_name": "DAVID",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "WA",
            "license": "OP60448689",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CO",
            "license": "47690",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS018844",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "47690",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP60448689",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "PA",
            "license": "OS018844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.