Active NPI
Morad Kanan, DMD
- Dentist
- Richardson, TX
National Provider Identifier
1376436865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN03791
- Practice address
- 4424 Red Barn
Richardson, TX 75082-2680 - Phone
- (469) 235-5129
- NPI assigned
- Jun 2, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DEN03791 | RI | Primary |
Addresses
Primary practice location
4424 Red Barn
Richardson, TX 75082-2680
Mailing address
4424 Red Barn
Richardson, TX 75082-2680
Phone (469) 235-5129
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 |
|---|---|---|---|
| DEN03791 | RI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750464000000",
"number": "1376436865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4424 RED BARN",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750822680",
"telephone_number": "469-235-5129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4424 RED BARN",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750822680",
"telephone_number": "469-235-5129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANAN",
"first_name": "MORAD",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-02",
"last_updated": "2025-06-21",
"certification_date": "2025-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "RI",
"license": "DEN03791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.