Active NPI
Dean Mason Kannier, P.T.
- Physical Therapist
- Redding, CA
National Provider Identifier
1407931751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT18430
- Practice address
- 951 Butte St
Redding, CA 96001-0828 - Phone
- (530) 241-9142
- Fax
- (530) 241-9201
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT18430 | CA | Primary |
Addresses
Primary practice location
951 Butte St
Redding, CA 96001-0828
Mailing address
951 Butte St
Redding, CA 96001-0828
Phone (530) 241-9142
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT0184300 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
951 Butte St
Redding, CA 96001-0828
Phone (530) 241-9142
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT18430 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NVPT, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
951 Butte St
Redding, CA 96001
Phone (530) 241-9142
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407931751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 BUTTE ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960010828",
"telephone_number": "530-241-9142",
"fax_number": "530-241-9201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 BUTTE ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960010828",
"telephone_number": "530-241-9142",
"fax_number": "530-241-9201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANNIER",
"first_name": "DEAN",
"middle_name": "MASON",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT18430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PT0184300",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.