Active NPI
Heidi K Kanning, DDS MS
- Endodontics
- Sequim, WA
National Provider Identifier
1992835904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 6420
- Practice address
- 483 West Hendrickson
Sequim, WA 98382-0236 - Phone
- (360) 683-6172
- Fax
- (360) 681-8075
- NPI assigned
- Mar 7, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 6420 | WA | Primary |
Addresses
Primary practice location
483 West Hendrickson
Sequim, WA 98382-0236
Mailing address
PO Box 236
483 W. Hendrickson
Sequim, WA 98382-0236
Phone (360) 683-6172
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6420 | WA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peter Ham, DDS, MSD, PLLC | Endodontics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992835904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 236",
"address_2": "483 W. HENDRICKSON",
"city": "SEQUIM",
"state": "WA",
"postal_code": "983820236",
"telephone_number": "360-683-6172",
"fax_number": "360-681-8075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "483 WEST HENDRICKSON",
"city": "SEQUIM",
"state": "WA",
"postal_code": "983820236",
"telephone_number": "360-683-6172",
"fax_number": "360-681-8075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANNING",
"first_name": "HEIDI",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "DDS MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "WA",
"license": "6420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sequim, WA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.