Jesse Samuel Kane, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

2901021221 Issued in MI

Practice address

760 W Eisenhower Pkwy Ste 120
Ann Arbor, MI 48103-5890

Phone

(734) 995-4699

NPI assigned

May 27, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Jesse Kane Plummer Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kane Dentistry

  • Prosthodontics
  • Ann Arbor, MI
  • NPI 1831603976
  NPD Authorized official

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1326450230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 W EISENHOWER PKWY STE 120",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035890",
            "telephone_number": "734-995-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 W EISENHOWER PKWY STE 120",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035890",
            "telephone_number": "734-995-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "JESSE",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSE",
            "last_name": "PLUMMER",
            "middle_name": "KANE",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Daniel Kanak, PA-C
• Kane Dentistry
• Bridget McDermott Kane, PT, DPT
• Ibrahima Kane
• James M Kane Jr., MD
• Morgan Harry Kane
• Saara Kanervikkoaho-Crane, MD
• Harshan Kaur Kang
• Irene Kang
• Jin Kook Kang, MD

• Dentist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.