Active NPI
Dennis Richard Kane, MD
- Pediatrics Physician
- Pooler, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 88922
- Practice address
- 143 Canal St Ste 500
Pooler, GA 31322-6017 - Phone
- (912) 748-4527
- Fax
- (912) 748-9016
- NPI assigned
- Dec 27, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101048427 | VA | |
| Pediatrics Physician | 208000000X | MD30330 | DC | |
| Pediatrics Physician | 208000000X | D0051613 | MD | |
| Pediatrics Physician | 208000000X | 88922 | GA | Primary |
Addresses
Primary practice location
143 Canal St Ste 500
Pooler, GA 31322-6017
Mailing address
143 Canal St Ste 500
Pooler, GA 31322-6017
Phone (912) 748-4527
Other practice location 1
2772 Rutland Rd
Davidsonville, MD 21035-1228
Phone (888) 808-6483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD30330 | DC | MD | Pediatrics Physician |
| 88922 | GA | MD | Pediatrics Physician |
| 0101048427 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WHC Physician Group LLC | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Emergency Medicine Associates, P.a.,P.C. | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Pediatrics | Current | Accepting new patients |
| WHC Emerg Phys | Current | Accepting new patients | |
| WHC Physician Group LLC | Current | Accepting new patients | |
| Kids First Pediatrics of Georgia, P.C. | Pediatrics | Past | Accepting new patients |
Locations
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
20010 Century Blvd
Ste 200
Germantown, MD 20874
18101 Prince Philip Dr
Olney, MD 20832
Phone (301) 774-8618
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000
24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
DC, Pediatrics
-
- Internal Medicine Physician
- Dulles, VA
- NPI 1376917070
-
- General Practice Physician
- Washington, DC
- NPI 1700154226
-
- Emergency Medicine Physician
- Rockville, MD
- NPI 1912911215
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
-
- Emergency Medical Services (Emergency Medicine) Physician
- Washington, DC
- NPI 1306260625
-
- Psychiatry Physician
- Washington, DC
- NPI 1477996858
-
- Pediatrics Physician
- Pooler, GA
- NPI 1326269598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1851456891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 CANAL ST STE 500",
"city": "POOLER",
"state": "GA",
"postal_code": "313226017",
"telephone_number": "912-748-4527",
"fax_number": "912-748-9016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 CANAL ST STE 500",
"city": "POOLER",
"state": "GA",
"postal_code": "313226017",
"telephone_number": "912-748-4527",
"fax_number": "912-748-9016"
}
],
"practiceLocations": [
{
"address_1": "2772 Rutland Rd",
"address_purpose": "LOCATION",
"city": "Davidsonville",
"state": "MD",
"postal_code": "210351228",
"country_code": "US",
"telephone_number": "888-808-6483",
"fax_number": "410-721-2656",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANE",
"first_name": "DENNIS",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101048427",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DC",
"license": "MD30330",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0051613",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "88922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pooler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.