Stanley Chiedozie Kanu

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA20717 Issued in TX

Practice address

9301 N Central Expy Ste 400
Dallas, TX 75231-0805

Phone

(214) 220-2468

NPI assigned

Apr 30, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Stan Kanu Other name

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: No

Green means eligible to order or refer.

Specialty

Physician Assistant

Education

Other, 2026

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1194662890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PKWY STE 115",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595753",
            "telephone_number": "214-220-2468",
            "fax_number": "469-232-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310805",
            "telephone_number": "214-220-2468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Gaylord Pkwy Ste 710",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750349635",
            "country_code": "US",
            "telephone_number": "214-220-2468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANU",
        "first_name": "STANLEY",
        "middle_name": "CHIEDOZIE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA20717",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA20717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STAN",
            "last_name": "KANU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kansas Em I Medical Services PA
• Kansas Wesleyan University
• Nyssa Kantorek
• Monica C Kanu, D.C., R.N.
• Nnenna Rose Kanu
• Anisha Vasu Kanukolanu
• Amala Kanury, M.D
• Farzeen Kanwal, CRNA
• Wangeci Kanyiri
• Edith Kanyongo, RN, MSN, PMHNP-BC

• Surgical Physician Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.