Burrell Edmond Kanoy Jr., DDS, M.A.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4500 Issued in NC

Practice address

3400 Croasdaile Dr
Suite 209
Durham, NC 27705-6815

Phone

(919) 383-7020

Fax

(919) 383-3141

NPI assigned

Mar 16, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Laura a Parra, DDS, PA

  • Dental Clinic/Center
  • Durham, NC
  • NPI 1245554427
  NPD (past)
• Mauro Nunes, DDS Ms, PLLC

  • General Practice Dentistry
  • Durham, NC
  • NPI 1659148146
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1972637130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CROASDAILE DR",
            "address_2": "SUITE 209",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277056815",
            "telephone_number": "919-383-7020",
            "fax_number": "919-383-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CROASDAILE DR",
            "address_2": "SUITE 209",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277056815",
            "telephone_number": "919-383-7020",
            "fax_number": "919-383-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANOY",
        "first_name": "BURRELL",
        "middle_name": "EDMOND",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS, M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8994772",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lena Jooyeon Kang, AGNP-C
• Lillian Kang
• Joel Kann, M.D.
• Paige Reily Kannall
• Matthew Miles Kanode, MS, RD, LDN
• Sujay Kansagra, M.D.
• Aman Dev Kansal
• Kavita Vijayam Kantak, M.D.
• Elishama Kanu, MD
• Chester Jingshiu Kao, MD

• General Practice Dentistry in Durham, NC
• Providers in Durham, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.