Brandi Kaye Kaner

Primary specialty

DentistTaxonomy code 122300000X

License

K560-0718-2640 Issued in IL

Practice address

21 Heritage Dr
Suite 100
Bourbonnais, IL 60914-1465

Phone

(815) 936-3232

Fax

(815) 936-3236

NPI assigned

Apr 9, 2008

Last updated

Apr 9, 2008By the provider in NPPES

Sex

Female

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

State licenses

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1275706301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1278 HARTLEY AVE",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141135",
            "telephone_number": "815-304-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HERITAGE DR",
            "address_2": "SUITE 100",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141465",
            "telephone_number": "815-936-3232",
            "fax_number": "815-936-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANER",
        "first_name": "BRANDI",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "K560-0718-2640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Matthew Kaplan, DO
• Craig T Karvala, D.C.

• Dentist in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.