Active NPI
Karla B Kanis, M.D.
- Neurology Physician
- Waltham, MA
National Provider Identifier
1629166558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 77876
- Practice address
- Parexel
200 West Street
Waltham, MA 02451 - Phone
- (781) 434-4126
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 77876 | MA | Primary |
Addresses
Primary practice location
Parexel
200 West Street
Waltham, MA 02451
Mailing address
68 Pine St
Weston, MA 02493-1116
Phone (781) 434-4126
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77876 | MA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629166558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 PINE ST",
"city": "WESTON",
"state": "MA",
"postal_code": "024931116",
"telephone_number": "781-434-4126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PAREXEL",
"address_2": "200 WEST STREET",
"city": "WALTHAM",
"state": "MA",
"postal_code": "02451",
"telephone_number": "781-434-4126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANIS",
"first_name": "KARLA",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "77876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.