Active NPI
Dennis Gerald Canter, DMD
- General Practice Dentistry
- Richmond, KY
National Provider Identifier
1790765923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6384
- Practice address
- 401 Highland Park Dr.
Richmond, KY 40475 - Phone
- (859) 626-7700
- Fax
- (859) 626-7890
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6384 | KY | Primary |
Addresses
Primary practice location
401 Highland Park Dr.
Richmond, KY 40475
Mailing address
1010 Main St S
MC Kee, KY 40447-7089
Phone (606) 287-7104
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60063849 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160104000858 | KY | Order and Referring Only - Dentist | 4385946664 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6384 | KY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391731200000",
"number": "1790765923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 MAIN ST S",
"city": "MC KEE",
"state": "KY",
"postal_code": "404477089",
"telephone_number": "606-287-7104",
"fax_number": "606-287-4409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 HIGHLAND PARK DR.",
"city": "RICHMOND",
"state": "KY",
"postal_code": "40475",
"telephone_number": "859-626-7700",
"fax_number": "859-626-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTER",
"first_name": "DENNIS",
"middle_name": "GERALD",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2014-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "6384",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60063849",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.