Mary L Canarsky, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7375 Issued in NE

Practice address

2838 S 48TH St
Lincoln, NE 68506-3391

Phone

(402) 488-8670

NPI assigned

Jun 9, 2017

Last updated

Jun 9, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

State licenses

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496966400000",
    "number": "1578092763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67127",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067127",
            "telephone_number": "402-488-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2838 S 48TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685063391",
            "telephone_number": "402-488-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANARSKY",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2017-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Lynn Campbell, LMHP, PLADC
• Wanitta Campbell
• Amanda Campolito
• James Canarsky, DDS
• James E Canarsky, D.D.S.
• Amanda Canby
• Brittany Canby
• Marcella Canby, RN
• Cancer Partners of Nebraska PC
• Cancer Partners of Nebraska PC

• General Practice Dentistry in Lincoln, NE
• Providers in Lincoln, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; 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.