David Channer, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME58914 Issued in FL

Practice address

20801 NW 2ND Ave
Miami, FL 33169

Phone

(305) 653-1770

Fax

(786) 725-3453

NPI assigned

Sep 12, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1912001561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-621-0023",
            "fax_number": "305-623-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20801 NW 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33169",
            "telephone_number": "305-653-1770",
            "fax_number": "786-725-3453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5961 NW 173rd Dr",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "33015",
            "country_code": "US",
            "telephone_number": "305-556-7500",
            "fax_number": "305-503-3476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5961 NW 173rd Dr",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "33015",
            "country_code": "US",
            "telephone_number": "305-556-7500",
            "fax_number": "305-503-3476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANNER",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME58914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "26696Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Changge LLC
• Changing Behavior Together
• Changing Behaviors & Lives ABA Therapy, LLC
• Changing Lives Behavioral Support Corp
• Changing Lives Therapy LLC
• Guyan Andre Channer, M.D.
• Mikeann Channer, MD
• Mitali Chansarkar
• Ruth E Chant, RN
• Marcelo Chao Castillo

• Internal Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.