Individual provider Active NPI

Jerry Martin Kantor

  • Homeopath
  • Wellesley Hills, MA
National Provider Identifier
1316143290
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomeopathTaxonomy code 175L00000X
Practice address
332 Washington St.
Vital Force Health Care, Suite 380
Wellesley Hills, MA 02481
Phone
(781) 431-1221
Fax
(781) 305-2077
NPI assigned
Jun 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 143 MA
Homeopath 175L00000X Primary

Addresses

Primary practice location

332 Washington St.
Vital Force Health Care, Suite 380
Wellesley Hills, MA 02481

Mailing address

628 South St
2
Roslindale, MA 02131-1716
Phone (617) 327-3227

Other names 1

  • Mr. Jerry Martin Kantor Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
143MAMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1316143290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 SOUTH ST",
            "address_2": "2",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021311716",
            "telephone_number": "617-327-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON ST.",
            "address_2": "VITAL FORCE HEALTH CARE, SUITE 380",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "02481",
            "telephone_number": "781-431-1221",
            "fax_number": "781-305-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTOR",
        "first_name": "JERRY",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "143",
            "primary": false
        },
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERRY",
            "last_name": "KANTOR",
            "middle_name": "MARTIN",
            "prefix": "MR.",
            "credential": "LIC. AC., MMHS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wellesley Hills, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.