Individual Healthcare Provider
Dexter Canoy
Provider's NPPES record last updated: December 9, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1104789809
- Primary Specialty
- Registered Nurse — Otorhinolaryngology & Head-Neck
- Practice Location
- Los Angeles, California
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 9:53 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Registered Nurse
Otorhinolaryngology & Head-Neck
Nursing Service Providers
Definition to come...
Taxonomy code 163WX0601X Registered Nurse
Continuing Education/Staff Development
Nursing Service Providers
Definition to come...
Taxonomy code 163WC1600XRegistered Nurse
Medical-Surgical
Nursing Service Providers
Definition to come...
Taxonomy code 163WM0705XRegistered Nurse
Nursing Service Providers
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Taxonomy code 163W00000X
Provider-Reported License Information
- Registered Nurse (California)
- 95292177
- Registered Nurse (California)
- 95292177
- Registered Nurse (California)
- 95292177
- Registered Nurse (California)
- 95292177
Practice Locations
Practice Location
11301 Wilshire Blvd
Los Angeles, California 90073-1003
Phone: (310) 478-3711
Record Information
- Enumeration Date
- December 9, 2025
- Provider's NPPES Record Last Updated
- December 9, 2025
- Certification Date
- December 9, 2025
- NPISignal NPPES Dataset
- August 2026
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