Active NPI
Courtney J Kane, DDS
- General Practice Dentistry
- Severna Park, MD
National Provider Identifier
1366280315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18059
- Practice address
- 501 Jumpers Hole Rd
Severna Park, MD 21146-2609 - Phone
- (410) 987-3204
- NPI assigned
- Jul 15, 2024
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 18059 | MD | Primary |
Addresses
Primary practice location
501 Jumpers Hole Rd
Severna Park, MD 21146-2609
Mailing address
501 Jumpers Hole Rd
Severna Park, MD 21146-2609
Phone (410) 987-3204
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 |
|---|---|---|---|
| 18059 | MD | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1366280315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 JUMPERS HOLE RD",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211462609",
"telephone_number": "410-987-3204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 JUMPERS HOLE RD",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211462609",
"telephone_number": "410-987-3204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANE",
"first_name": "COURTNEY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-15",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "18059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Severna Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.