Elena Kan, D.D.S., M.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN21445 Issued in FL

Practice address

560 Jackson St N Ste 250
St Petersburg, FL 33705-1449

Phone

(727) 289-2981

Fax

(727) 280-5225

NPI assigned

Aug 29, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1407105083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 JACKSON ST N STE 250",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051449",
            "telephone_number": "727-289-2981",
            "fax_number": "727-280-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 JACKSON ST N STE 250",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051449",
            "telephone_number": "727-289-2981",
            "fax_number": "727-280-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAN",
        "first_name": "ELENA",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21445",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN21445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aliya Kamall
• Geetha J Kamath, MD
• Jayaprakash K Kamath, MD
• Kami Care LLC
• Angela D Kaminsky, O.D.
• Keith Kanarek, M.D.
• Maritza Kandzer, MSN, PMHNP, AGPCNP
• Lauren Christine Kane, MD
• Rebecca Kay Kane, B.A.
• Tiffany Kane, LMT

• Endodontics in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.