Individual provider Active NPI

Connor Michael McCane, DMD

  • Dentist
  • Sheridan, MI
National Provider Identifier
1508419342
Registry record updated Mar 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901600217 Issued in MI
Practice address
215 S Center St
Sheridan, MI 48884-9301
Phone
(989) 291-3302
NPI assigned
Jul 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901600217 MI Primary

Addresses

Primary practice location

215 S Center St
Sheridan, MI 48884-9301

Mailing address

8333 Woodcrest Dr NE
Rockford, MI 49341-8507
Phone (616) 340-6723

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

LicenseStateTypeSpecialty
2901600217MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
John P. Marshall DDS,PC CurrentSince Mar 21, 2021 Accepting new patients
Connor McCane DMD PLLC CurrentSince Mar 21, 2021 Accepting new patients

Organizations & group practices 2

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": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615593600000",
    "number": "1508419342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 WOODCREST DR NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493418507",
            "telephone_number": "616-340-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S CENTER ST",
            "city": "SHERIDAN",
            "state": "MI",
            "postal_code": "488849301",
            "telephone_number": "989-291-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANE",
        "first_name": "CONNOR",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-22",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.