Individual provider Active NPI

Barry Robert Kantor, D.D.S.

  • General Practice Dentistry
  • Union City, NJ
National Provider Identifier
1538500095
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01100100 Issued in NJ
Practice address
711 Summit Ave
Union City, NJ 07087-3428
Phone
(201) 865-2847
Fax
(201) 865-2847
NPI assigned
Jul 12, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI01100100 NJ Primary

Addresses

Primary practice location

711 Summit Ave
Union City, NJ 07087-3428

Mailing address

711 Summit Ave
Union City, NJ 07087-3428
Phone (201) 865-2847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160418001956 NJ Order and Referring Only - DentistPractitioner - Dentist 0547568982

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI01100100NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Harry Kantor Barry Kantor DDS PA General Practice 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1538500095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 SUMMIT AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070873428",
            "telephone_number": "201-865-2847",
            "fax_number": "201-865-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 SUMMIT AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070873428",
            "telephone_number": "201-865-2847",
            "fax_number": "201-865-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTOR",
        "first_name": "BARRY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01100100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

Verify at the official NPI Registry.