Deborah a. Canney

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DEBORAH A. CANNEY

Practice address

152 Front St
Exeter, NH 03833-2329

Phone

(603) 580-2949

Fax

(267) 350-9184

NPI assigned

Aug 20, 2006

Reactivated

Jul 2, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Marvin Petersen, PEDORTHIST

Title

Manager

Phone

(763) 607-6874

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Canney Medical Supply, LLC Doing business as

Locations

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1780799783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 FRONT ST",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332329",
            "telephone_number": "603-580-2949",
            "fax_number": "267-350-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 FRONT ST",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332329",
            "telephone_number": "603-580-2949",
            "fax_number": "267-350-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH A. CANNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2012-08-07",
        "deactivation_date": "2008-06-04",
        "reactivation_date": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "MARVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "763-607-6874",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30761514",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1540271",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CA",
            "identifier": "705068",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canney Medical Supply, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Exeter, NH
• Providers in Exeter, NH by specialty
• Durable Medical Equipment & Medical Supplies in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.