NPIMap

Organization Active NPI

Robert C. Cantu MD Neurological Surgery, Inc.

  • Specialist
  • Concord, MA
National Provider Identifier
1679773667
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
28386 Issued in MA
Legal business name
ROBERT C. CANTU MD NEUROLOGICAL SURGERY, INC.
Practice address
131 Ornac
John Cuming Building Suite 820
Concord, MA 01742-4181
Phone
(978) 369-1386
Fax
(978) 287-0047
NPI assigned
Jul 19, 2007
Last updated
Feb 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Authorized official

Name
Dr. Robert Clark Cantu, MDNPI 1316914625
Title
Owner/President
Phone
(978) 369-1386

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 28386 MA Primary

Addresses

Primary practice location

131 Ornac
John Cuming Building Suite 820
Concord, MA 01742-4181

Mailing address

131 Ornac
John Cuming Building Suite 820
Concord, MA 01742-4181
Phone (978) 369-1386

Other identifiers 2

IdentifierTypeStateIssuer
M01876OtherBLUE CROSS
M10876OtherMEDICARE TYPE UNSPECIFIED

National Provider Directory

National Provider Directory

Locations

131 Ornac
Ste 820
Concord, MA 01742
Phone (978) 369-1386

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1679773667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 ORNAC",
            "address_2": "JOHN CUMING BUILDING SUITE 820",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424181",
            "telephone_number": "978-369-1386",
            "fax_number": "978-287-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 ORNAC",
            "address_2": "JOHN CUMING BUILDING SUITE 820",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424181",
            "telephone_number": "978-369-1386",
            "fax_number": "978-287-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C. CANTU MD NEUROLOGICAL SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "CANTU",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "978-369-1386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "28386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "M01876",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TYPE UNSPECIFIED",
            "identifier": "M10876",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.