Active NPI
David Canen
- Case Manager/Care Coordinator
- Evanston, WY
National Provider Identifier
1861729667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 100 Bear River Dr
Evanston, WY 82930-2804 - Phone
- (307) 789-0664
- NPI assigned
- Nov 16, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
100 Bear River Dr
Evanston, WY 82930-2804
Mailing address
PO Box 1652
Evanston, WY 82931-1652
Phone (307) 789-0664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridges Habilitation Services Inc. | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Non-Pharmacy Dispensing Site
- Evanston, WY
- NPI 1245305804
-
dba Bridges
- Developmentally Disabled Services Day Training Agency
- Evanston, WY
- NPI 1740518133
-
dba Bridges
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gillette, WY
- NPI 1710392220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258329600000",
"number": "1861729667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1652",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829311652",
"telephone_number": "307-789-0664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BEAR RIVER DR",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829302804",
"telephone_number": "307-789-0664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANEN",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-16",
"last_updated": "2009-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.