Michael Kenneth Kaner, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS024695L Issued in PA

Practice address

137 W Street Rd
Feasterville Trevose, PA 19053-4168

Phone

(215) 357-1306

NPI assigned

May 27, 2005

Sex

Male

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 PA

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

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1710980271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 W STREET RD",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190534168",
            "telephone_number": "215-357-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 W STREET RD",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190534168",
            "telephone_number": "215-357-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANER",
        "first_name": "MICHAEL",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS024695L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nell Johnson, CCC-SLP/L
• Sam Joseph
• Joyce M Grabar
• Judy Anderson, MD, PC
• John Bernard Junod, M.D.
• Gilbert Kasirsky, D.O.
• Nino Kavtaradze, CRNP
• Denise Keegan, CRNP
• Morgan Kern, MS, OTR
• Kelli Margaret Kerner, MA CCC/SLP

• General Practice Dentistry in Feasterville Trevose, PA
• Providers in Feasterville Trevose, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.