Active NPI
Robert Stephen Kane, DDS
- Endodontics
- Goodyear, AZ
National Provider Identifier
1861820516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 3266
- Practice address
- 1646 N Litchfield Rd
#260
Goodyear, AZ 85395-1203 - Phone
- (623) 535-7899
- Fax
- (623) 535-7821
- NPI assigned
- Oct 16, 2013
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 3266 | AZ | Primary |
Addresses
Primary practice location
1646 N Litchfield Rd
#260
Goodyear, AZ 85395-1203
Mailing address
1646 N Litchfield Rd
#260
Goodyear, AZ 85395-1203
Phone (623) 535-7899
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3266 | AZ | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381881600000",
"number": "1861820516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1646 N LITCHFIELD RD",
"address_2": "#260",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853951203",
"telephone_number": "623-535-7899",
"fax_number": "623-535-7821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1646 N LITCHFIELD RD",
"address_2": "#260",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853951203",
"telephone_number": "623-535-7899",
"fax_number": "623-535-7821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANE",
"first_name": "ROBERT",
"middle_name": "STEPHEN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-16",
"last_updated": "2013-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "AZ",
"license": "3266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.