David Cantor, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

4301041023 Issued in MI

Practice address

8391 Commerce Rd
Suite 101
Commerce TWP, MI 48382-4489

Phone

(248) 360-9090

Fax

(248) 360-9093

NPI assigned

May 26, 2006

Last updated

Jul 15, 2010By the provider in NPPES

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1235185398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8391 COMMERCE RD",
            "address_2": "SUITE 101",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483824489",
            "telephone_number": "248-360-9090",
            "fax_number": "248-360-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8391 COMMERCE RD",
            "address_2": "SUITE 101",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483824489",
            "telephone_number": "248-360-9090",
            "fax_number": "248-360-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTOR",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MI",
            "license": "4301041023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4310039",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Shannon Carlson, CRNA
• Jung Hoon Chang, MD
• Charter Township of Commerce
• Heidi Clark, P.T.

• Gynecology Physician in Commerce TWP, MI
• Providers in Commerce TWP, MI by specialty
• Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.

Verify at the official NPI Registry.