Individual provider Active NPI

Dennis Richard Kane, MD

  • Pediatrics Physician
  • Pooler, GA
National Provider Identifier
1851456891
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
88922 Issued in GA
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

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110215000101 DC Practitioner - Pediatric Medicine 4183753775 Reassigns benefits to 2 organizations
I20110519000301 MD Practitioner - Pediatric Medicine 4183753775 Reassigns benefits to 1 organization
I20170914001452 VA Practitioner - Pediatric Medicine 4183753775 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD30330DCMDPediatrics Physician
88922GAMDPediatrics Physician
0101048427VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WHC Physician Group LLC Current Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jan 1, 2017 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Aug 1, 2017 Accepting new patients
Emergency Medicine Associates P.a., P.C. Pediatrics CurrentSince Jan 1, 2017 Accepting new patients
WHC Emerg Phys CurrentSince Sep 1, 2020 Accepting new patients
WHC Physician Group LLC CurrentSince Sep 1, 2020 Accepting new patients
Kids First Pediatrics of Georgia, P.C. Pediatrics PastSince Mar 20, 2022 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.

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

Verify at the official NPI Registry.