Tanguy Canonge, DDS

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

One Kneeland Street, 11TH Floor (Orthodontics)
Tufts University School of Dental Medicine
Boston, MA 02111

Phone

(617) 636-3471

NPI assigned

Jul 13, 2015

Reactivated

Mar 22, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1144604810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE KNEELAND STREET, 11TH FLOOR (ORTHODONTICS)",
            "address_2": "TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111",
            "telephone_number": "617-636-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE KNEELAND STREET, 11TH FLOOR (ORTHODONTICS)",
            "address_2": "TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111",
            "telephone_number": "617-636-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANONGE",
        "first_name": "TANGUY",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-13",
        "last_updated": "2016-03-22",
        "deactivation_date": "2016-03-04",
        "reactivation_date": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christhian Alejandro Cano Guerra, MD
• Jacinto Angel Cano Peyro, D.D.S.
• Christopher Cano, MD
• Haidee Cano, MSW, LCSW
• Debbie F Canoa, DPT
• Darren Canonico
• Alev Cansever
• Naheed Cantalupo, RDN
• Marie G. Cantave-Ayer, NP
• Mary Ann Cantella, N.P.

• Student in an Organized Health Care Education/Training Program in Boston, MA
• Providers in Boston, MA by specialty
• Student in an Organized Health Care Education/Training Program in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.