Active NPI
Daniel Joseph Kane, D.M.D.
- Pediatric Dentistry
- Providence, RI
National Provider Identifier
1962501908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DEN 02611
- Practice address
- 21 Peace St
Department of Pediatric Dentistry
Providence, RI 02907-1510 - Phone
- (401) 456-4463
- Fax
- (401) 456-4462
- NPI assigned
- Sep 22, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DEN 02611 | RI | Primary |
Addresses
Primary practice location
21 Peace St
Department of Pediatric Dentistry
Providence, RI 02907-1510
Mailing address
451 Pleasant Valley Pkwy
Providence, RI 02908-3503
Phone (401) 351-1153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN 02611 | RI | MD | Pediatric Dentist |
| 2611 | RI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Community Action Agency | Current | Accepting new patients | |
| Tri-County Community Action Agency | Current | Accepting new patients |
Locations
1126 Hartford Ave
Johnston, RI 02919
Phone (401) 351-2750
1637 Mineral Spring Ave
Ste 101
North Providence, RI 02904
Phone (401) 519-1940
Interoperability endpoints
- daniel.kane.p4@direct.bvchc.nextgenshare.com
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Johnston, RI
- NPI 1396780086
-
- Federally Qualified Health Center (FQHC)
- North Providence, RI
- NPI 1912328600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962501908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 PLEASANT VALLEY PKWY",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029083503",
"telephone_number": "401-351-1153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 PEACE ST",
"address_2": "DEPARTMENT OF PEDIATRIC DENTISTRY",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029071510",
"telephone_number": "401-456-4463",
"fax_number": "401-456-4462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANE",
"first_name": "DANIEL",
"middle_name": "JOSEPH",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "RI",
"license": "DEN 02611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- 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.