Active NPI
David Henach Kane, M.D.
- Anesthesiology Physician
- Bend, OR
National Provider Identifier
1922077973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 31667
- Practice address
- 2275 NE Doctors Dr
Suite 2
Bend, OR 97701-6324 - Phone
- (541) 585-2400
- Fax
- (541) 585-2407
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 31667 | AZ | Primary |
Addresses
Primary practice location
2275 NE Doctors Dr
Suite 2
Bend, OR 97701-6324
Mailing address
2275 NE Doctors Dr
Suite 2
Bend, OR 97701
Phone (541) 585-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805442 | Medicaid | AZ |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31667 | AZ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Anesthesia PL | Anesthesiology | Past | Accepting new patients |
| Occupational Medical Center Inc. | Past | Accepting new patients | |
| Desert Medical Staffing, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
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- General Practice Physician
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- NPI 1902916646
-
- Anesthesiology Physician
- Delray Beach, FL
- NPI 1326132614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325808000000",
"number": "1922077973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2275 NE DOCTORS DR",
"address_2": "SUITE 2",
"city": "BEND",
"state": "OR",
"postal_code": "97701",
"telephone_number": "541-585-2400",
"fax_number": "541-585-2407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 NE DOCTORS DR",
"address_2": "SUITE 2",
"city": "BEND",
"state": "OR",
"postal_code": "977016324",
"telephone_number": "541-585-2400",
"fax_number": "541-585-2407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANE",
"first_name": "DAVID",
"middle_name": "HENACH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2012-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "31667",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805442",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.