Evan Gregg Kantor, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

050020 Issued in NY

Practice address

98 Smith Ave
Mt Kisco, NY 10549

Phone

(914) 666-2133

Fax

(914) 666-3509

NPI assigned

Aug 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• James Digiacinto DDS Evan Kantor DMD PC

  • Periodontics
  • Mount Kisco, NY
  • NPI 1053408914
  NPD (past) Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558471193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CORNELL ST",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "10583",
            "telephone_number": "914-725-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 SMITH AVE",
            "city": "MT KISCO",
            "state": "NY",
            "postal_code": "10549",
            "telephone_number": "914-666-2133",
            "fax_number": "914-666-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTOR",
        "first_name": "EVAN",
        "middle_name": "GREGG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "050020",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "DI22169",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamaljit Thind
• Helene Kaminski, MD
• Paul D Kandel, MD
• Shigeru Kaneki, MD
• Mimi Y Kang, MD
• Ramon K Kapoor, NURSE PRACTITIONER
• Athena G Kaporis, MD
• Eleni Electra Karagiannis, DO
• Evan H Karas, MD
• Thomas M. Karoff, DO

• Periodontics in Mount Kisco, NY
• Providers in Mount Kisco, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.