Individual provider Active NPI

Peter G Canaday, MD

  • Diagnostic Radiology Physician
  • Dakota Dunes, SD
National Provider Identifier
1164472247
Registry record updated Mar 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
23713 Issued in CO
Practice address
706 E Saint Andrews Cir
Peter Canaday MD PC
Dakota Dunes, SD 57049-5111
Phone
(720) 951-3502
NPI assigned
May 11, 2006
Last updated
Mar 27, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 23713 CO Primary

Addresses

Primary practice location

706 E Saint Andrews Cir
Peter Canaday MD PC
Dakota Dunes, SD 57049-5111

Mailing address

706 E Saint Andrews Cir
Dakota Dunes, SD 57049-5111
Phone (720) 951-3502

Other identifiers 1

IdentifierTypeStateIssuer
01237130MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Collins Radiologic Associates PC Diagnostic Radiology Past Accepting new patients
Winneshiek Medical Center Past Accepting new patients
Medical Imaging Associates PC Diagnostic Radiology Past Accepting new patients
Diversified Radiology of Colorado, Inc Diagnostic Radiology Past Accepting new patients
Medical Imaging Physicians, L.L.P. Diagnostic Radiology Past Accepting new patients
Creighton University Past Accepting new patients
Flatirons Radiology, LLC Diagnostic Radiology Past Accepting new patients
Creighton University Past Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269648000000",
    "number": "1164472247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 E SAINT ANDREWS CIR",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495111",
            "telephone_number": "720-951-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 E SAINT ANDREWS CIR",
            "address_2": "PETER CANADAY MD PC",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495111",
            "telephone_number": "720-951-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANADAY",
        "first_name": "PETER",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2010-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "23713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01237130",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dakota Dunes, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.