Active NPI
Dara Cantor, L.AC
- Acupuncturist
- Milwaukie, OR
National Provider Identifier
1558782748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC165411
- Practice address
- 11630 SE 40TH Ave
Suite C
Milwaukie, OR 97222-6195 - Phone
- (503) 974-9283
- Fax
- (503) 715-0446
- NPI assigned
- Dec 15, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC165411 | OR | Primary |
Addresses
Primary practice location
11630 SE 40TH Ave
Suite C
Milwaukie, OR 97222-6195
Mailing address
11630 SE 40TH Ave
Suite C
Milwaukie, OR 97222
Phone (503) 974-9283
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
| License | State | Type | Specialty |
|---|---|---|---|
| AC165411 | OR | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387065600000",
"number": "1558782748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11630 SE 40TH AVE",
"address_2": "SUITE C",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "97222",
"telephone_number": "503-974-9283",
"fax_number": "503-715-0446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11630 SE 40TH AVE",
"address_2": "SUITE C",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972226195",
"telephone_number": "503-974-9283",
"fax_number": "503-715-0446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTOR",
"first_name": "DARA",
"credential": "L.AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-15",
"last_updated": "2013-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OR",
"license": "AC165411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.