Individual provider Active NPI

Dawn Odetta Marie Cantu, MD

  • Family Medicine Physician
  • Sherrills Ford, NC
National Provider Identifier
1568157451
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2026-01175 Issued in NC
Practice address
3900 Terrell Park Dr Ste 100
Sherrills Ford, NC 28673-9510
Phone
(828) 732-5450
NPI assigned
Apr 7, 2023
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2026-01175 NC Primary

Addresses

Primary practice location

3900 Terrell Park Dr Ste 100
Sherrills Ford, NC 28673-9510

Mailing address

PO Box 890273
Charlotte, NC 28289-0273

Other names 1

  • Dawn Odetta Marie Jensen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Univeristy of Texas Rio Grande Valley Med School, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

810 Fairgrove Church Rd
Hickory, NC 28602-9617

810 Fairgrove Church Rd
Hickory, NC 28602-9643

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Texas a&M University System Health Science Center Family Medicine PastSince Apr 9, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1568157451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890273",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 TERRELL PARK DR STE 100",
            "city": "SHERRILLS FORD",
            "state": "NC",
            "postal_code": "286739510",
            "telephone_number": "828-732-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTU",
        "first_name": "DAWN",
        "middle_name": "ODETTA MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-07",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2026-01175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "JENSEN",
            "middle_name": "ODETTA MARIE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sherrills Ford, NC

Sources for this page

Verify at the official NPI Registry.