Robert Joseph Kanke, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2480 Issued in WI

Practice address

2010 Progress Blvd
Antigo, WI 54409-2475

Phone

(715) 623-7221

Fax

(715) 627-4548

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• R & R Dental Partners

  • General Practice Dentistry
  • Antigo, WI
  • NPI 1588117998
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891810198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 PROGRESS BLVD",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092475",
            "telephone_number": "715-623-7221",
            "fax_number": "715-627-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 PROGRESS BLVD",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092475",
            "telephone_number": "715-623-7221",
            "fax_number": "715-627-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANKE",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "2480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33407700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darlaen Kay Jansen, RN
• Jaworski Chiropractic LLC
• Lindsy D Jaworski, D.C.
• Melissa Jensen, APNP-C
• Curt Corbett Johnson, DC
• Mary Jo Kautza, APRN
• Kristin King, RN
• Katherine Anne Kirwan, D.C.
• Tessa Kitzman
• Richard A Kjome, O.D.

• Dentist in Antigo, WI
• Providers in Antigo, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.