Kenneth Dauphinee, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MI4301065220 Issued in MI

Practice address

1221 South Dr
Mt Pleasant, MI 48858-3258

Phone

(989) 772-6700

Fax

(989) 772-6807

NPI assigned

Jul 17, 2006

Last updated

Sep 16, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Michigan Anesthesia Care One PC

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1386976090
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1083632194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 SOUTH DR",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488583258",
            "telephone_number": "989-772-6700",
            "fax_number": "989-772-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 SOUTH DR",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488583258",
            "telephone_number": "989-772-6700",
            "fax_number": "989-772-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUPHINEE",
        "first_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "MI4301065220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4798817",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norman Francis Curtiss IV, PHARMD, PA-C
• Katelyn D'Haene, PA-C
• Hussein Ali Dabaja, HIS
• Kaitlyn Darling
• Kevin C Daum, MA, LPC
• Brittney Nicole Davis
• Damon Davis
• Jennifer Kay Davis
• Krista Davis, M.S. CCC-SLP
• Sydney Rae Davis, LPC

• Anesthesiology Physician in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Anesthesiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.