Active NPI
Jeffery S Cantrell MD PA
- Orthopaedic Surgery Physician
- Flower Mound, TX
National Provider Identifier
1326212895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- H6092
- Legal business name
- JEFFERY S CANTRELL MD PA
- Practice address
- 2960 Long Prairie Rd
Flower Mound, TX 75022-4845 - Phone
- (972) 420-1776
- Fax
- (972) 221-8685
- NPI assigned
- Apr 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffery S Cantrell, MD
- Title
- MD
- Phone
- (972) 420-1776
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | H6092 | TX | Primary |
Addresses
Primary practice location
2960 Long Prairie Rd
Flower Mound, TX 75022-4845
Mailing address
PO Box 977
Lewisville, TX 75067-0977
Phone (972) 420-1776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0070QP | Other | TX | BLUESHIELD PROVIDER # |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Flower Mound, TX
- NPI 1710945134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208304000000",
"number": "1326212895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 977",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750670977",
"telephone_number": "972-420-1776",
"fax_number": "972-221-8685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2960 LONG PRAIRIE RD",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750224845",
"telephone_number": "972-420-1776",
"fax_number": "972-221-8685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFERY S CANTRELL MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-16",
"last_updated": "2008-04-16",
"status": "A",
"authorized_official_last_name": "CANTRELL",
"authorized_official_first_name": "JEFFERY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "972-420-1776",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "H6092",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUESHIELD PROVIDER #",
"identifier": "0070QP",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.