Organization Active NPI

Stephen a. Cantor, M.D., P.C.

  • Cardiovascular Disease Physician
  • Prescott, AZ
National Provider Identifier
1669647137
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
22564 Issued in AZ
Legal business name
STEPHEN A. CANTOR, M.D., P.C.
Practice address
980 Willow Creek Rd
Suite 201
Prescott, AZ 86301-1611
Phone
(928) 445-4142
Fax
(928) 776-9491
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Ms. Julie Stevens
Title
Office Manager
Phone
(928) 308-4287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 22564 AZ Primary

Addresses

Primary practice location

980 Willow Creek Rd
Suite 201
Prescott, AZ 86301-1611

Mailing address

980 Willow Creek Rd
Suite 201
Prescott, AZ 86301-1611
Phone (928) 445-4142

National Provider Directory

National Provider Directory

Locations

980 Willow Creek Rd
Ste 201
Prescott, AZ 86301
Phone (928) 445-4142

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1669647137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 WILLOW CREEK RD",
            "address_2": "SUITE 201",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011611",
            "telephone_number": "928-445-4142",
            "fax_number": "928-776-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 WILLOW CREEK RD",
            "address_2": "SUITE 201",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011611",
            "telephone_number": "928-445-4142",
            "fax_number": "928-776-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN A. CANTOR, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-308-4287",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "22564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.

Verify at the official NPI Registry.