Active NPI
Chandra W. Kane, RDH
- Dental Hygienist
- Monson, ME
National Provider Identifier
1215264981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2433
- Practice address
- 2 Mathews Road
Monson, ME 04464-0000 - Phone
- (207) 997-2936
- Fax
- (207) 997-2936
- NPI assigned
- Nov 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2433 | ME | Primary |
Addresses
Primary practice location
2 Mathews Road
Monson, ME 04464-0000
Mailing address
PO Box 1386
Greenville, ME 04441-1386
Phone (207) 997-2936
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 434557000 | Other | ME | MAINECARE BILLING PROVIDER NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2433 | ME | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smile Patrol | Dental Hygienist | Past | Accepting new patients |
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.
-
- Dental Hygienist
- Monson, ME
- NPI 1851694996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258416000000",
"number": "1215264981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1386",
"city": "GREENVILLE",
"state": "ME",
"postal_code": "044411386",
"telephone_number": "207-997-2936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MATHEWS ROAD",
"city": "MONSON",
"state": "ME",
"postal_code": "044640000",
"telephone_number": "207-997-2936",
"fax_number": "207-997-2936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANE",
"first_name": "CHANDRA",
"middle_name": "W.",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-17",
"last_updated": "2009-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "ME",
"license": "2433",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINECARE BILLING PROVIDER NUMBER",
"identifier": "434557000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monson, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.