Active NPI
Angela Christen Canfield, DDS
- Dentist
- Rincon, GA
National Provider Identifier
1316039555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN013083
- Practice address
- 5871 Hwy 21 South
Rincon, GA 31326 - Phone
- (912) 826-4037
- Fax
- (912) 826-4825
- NPI assigned
- Sep 28, 2006
- Last updated
- Aug 7, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN013083 | GA | Primary |
Addresses
Primary practice location
5871 Hwy 21 South
Rincon, GA 31326
Mailing address
372 Stonebridge Circle
Savannah, GA 31419
Phone (912) 341-0403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1748640 | Other | UNITED CONCORDIA |
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 |
|---|---|---|---|
| DN013083 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502064000000",
"number": "1316039555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "372 STONEBRIDGE CIRCLE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "31419",
"telephone_number": "912-341-0403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5871 HWY 21 SOUTH",
"city": "RINCON",
"state": "GA",
"postal_code": "31326",
"telephone_number": "912-826-4037",
"fax_number": "912-826-4825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANFIELD",
"first_name": "ANGELA",
"middle_name": "CHRISTEN",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2017-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN013083",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1748640",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Rincon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.