Individual provider Active NPI

Anthony Arcturus Odysseus Kanning, LE

  • Specialist
  • Eugene, OR
National Provider Identifier
1730049529
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
BAP-E-10263651 Issued in OR
Practice address
3575 Donald St Ste 110
Eugene, OR 97405-4753
Phone
(541) 248-4948
NPI assigned
Nov 13, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X BAP-E-10263651 OR Primary

Addresses

Primary practice location

3575 Donald St Ste 110
Eugene, OR 97405-4753

Mailing address

3575 Donald St Ste 110
Eugene, OR 97405-4753
Phone (541) 248-4984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3575 Donald St
Suite 110
Eugene, OR 97405-4700

86248 Smigley Rd
Veneta, OR 97487-9437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BAP-E-10263651ORMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene Electrolysis LLC Specialist Current Accepting new patients

Locations

3575 Donald St
Ste 110
Eugene, OR 97405
Phone (541) 248-4984

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": "1762992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1730049529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 DONALD ST STE 110",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974054753",
            "telephone_number": "541-248-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 DONALD ST STE 110",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974054753",
            "telephone_number": "541-248-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNING",
        "first_name": "ANTHONY",
        "middle_name": "ARCTURUS ODYSSEUS",
        "name_prefix": "Mr.",
        "credential": "LE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "BAP-E-10263651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.