Individual provider Active NPI

Daniel Joseph Kane, D.M.D.

  • Pediatric Dentistry
  • Providence, RI
National Provider Identifier
1962501908
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DEN 02611 Issued in RI
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250307000694 RI Practitioner - Pediatric Dentistry 3870883432 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN 02611RIMDPediatric Dentist
2611RIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Community Action Agency CurrentSince Feb 1, 2025 Accepting new patients
Tri-County Community Action Agency CurrentSince Feb 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.