Active NPI
Michael Dan Cantor, DO
- Interventional Cardiology Physician
- Mooresville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 2016-01999
- Practice address
- 134 Medical Park Rd Ste 200
Mooresville, NC 28117-8527 - Phone
- (980) 302-7800
- Fax
- (980) 302-7805
- NPI assigned
- Oct 25, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 2016-01999 | NC | |
| Interventional Cardiology Physician | 207RI0011X | 18227 | NH | |
| Interventional Cardiology Physician | 207RI0011X | 2016-01999 | NC | Primary |
Addresses
Primary practice location
134 Medical Park Rd Ste 200
Mooresville, NC 28117-8527
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (980) 302-7800
Other practice location 1
10030 Gilead Rd Ste 201
Huntersville, NC 28078
Phone (704) 887-4530
Other practice location 2
175 Mary St
Boone, NC 28607-5025
Phone (828) 264-9664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3109451 | Medicaid | NH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mcantor733287@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161114001577 | NC | Practitioner - Cardiovascular Disease (Cardiology) | 4284672536 | Reassigns benefits to 10 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Catawba Valley Medical Group IncCatawba Valley Medical Center
Practice addresses (Care Compare)
3521 Graystone PL SE
Suite 202
Conover, NC 28613-8269
Phone (828) 732-5700
810 Fairgrove Church Rd
Hickory, NC 28602-9617
Phone (828) 326-3809
Hospital & facility affiliations
- Catawba Valley Medical Center
- North Carolina Baptist Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 12 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016-01999 | NC | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Presbyterian Hospital | Current | Accepting new patients | |
| Catawba Valley Medical Group Inc | Current | Accepting new patients | |
| Catawba Valley Medical Group, Inc | Cardiovascular Disease | Current | Accepting new patients |
| Novant Health Rowan Medical Center, LLC | Current | Accepting new patients | |
| Novant Health Ballantyne Medical Center LLC | Current | Accepting new patients | |
| Novant Health Matthews Medical Center LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Charles a Cannon Jr Memorial Hospital Inc | Current | Accepting new patients | |
| Watauga Medical Center Inc | Cardiovascular Disease | Current | Accepting new patients |
| Charles a. Cannon, Jr. Memorial Hospital, Inc. | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Catawba Valley Medical Center | Cardiovascular Disease | Current | Accepting new patients |
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Catawba Valley Medical Group, Inc | Current | Accepting new patients | |
| Novant Health Mint Hill Medical Center, LLC | Current | Accepting new patients | |
| Charles a. Cannon, Jr. Memorial Hospital, Inc | Current | Accepting new patients | |
| Novant Health Rowan Medical Center LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Charles a. Cannon, Jr. Memorial Hospital, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Montgomery Surgery Associates LLC | Cardiovascular Disease | Past | Accepting new patients |
| Catawba Valley Medical Group, Inc | Past | Accepting new patients |
Locations
175 Mary St
Boone, NC 28607
Phone (828) 264-9664
336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211
155 Furman Rd
Ste 101
Boone, NC 28607
Phone (828) 262-4111
200 Rosenwald School St
Catawba, NC 28609
Phone (828) 241-2377
125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043
1918 Randolph Rd
Ste 350
Charlotte, NC 28207
Phone (704) 384-1750
335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390
8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000
6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950
10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
3521 Graystone Pl SE
Ste 202
Conover, NC 28613
Phone (828) 326-2354
810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000
10030 Gilead Rd
Ste 201
Huntersville, NC 28078
Phone (704) 598-6042
10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000
1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500
612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000
50 Macedonia Church Rd
#A
Taylorsville, NC 28681
Phone (828) 732-5300
Interoperability endpoints
- mcantor733287@direct.novanthealth.org
- michael.cantor@cvmg.eclinicaldirectplus.com
Organizations & group practices 28
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1760190607
NC
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
NC
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1063910404
NC
-
- Geriatric Medicine (Internal Medicine) Physician
- Charlotte, NC
- NPI 1053365817
NC
-
- General Acute Care Hospital
- Boone, NC
- NPI 1205859766
Cardiovascular Disease, NC
-
- Ambulatory Surgical Clinic/Center
- Hickory, NC
- NPI 1659267359
-
- Psychiatric Hospital Unit
- Hickory, NC
- NPI 1275585150
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Winston Salem, NC
- NPI 1114995677
Hospital
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1144211301
Hospital
-
- Clinical Medical Laboratory
- Winston Salem, NC
- NPI 1609162098
Hospital
-
- Pediatric Adolescent Medicine Physician
- Winston Salem, NC
- NPI 1912179219
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1760635486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "980-302-7800",
"fax_number": "980-302-7805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 MEDICAL PARK RD STE 200",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178527",
"telephone_number": "980-302-7800",
"fax_number": "980-302-7805"
}
],
"practiceLocations": [
{
"address_1": "10030 Gilead Rd Ste 201",
"address_purpose": "LOCATION",
"city": "Huntersville",
"state": "NC",
"postal_code": "28078",
"country_code": "US",
"telephone_number": "704-887-4530",
"fax_number": "704-887-4531",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "175 Mary St",
"address_purpose": "LOCATION",
"city": "Boone",
"state": "NC",
"postal_code": "286075025",
"country_code": "US",
"telephone_number": "828-264-9664",
"fax_number": "828-264-8144",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANTOR",
"first_name": "MICHAEL",
"middle_name": "DAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-25",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "2016-01999",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NH",
"license": "18227",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NC",
"license": "2016-01999",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3109451",
"state": "NH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mcantor733287@direct.novanthealth.org",
"affiliation": "N",
"address_1": "175 Mary St",
"city": "Boone",
"state": "NC",
"country_code": "US",
"postal_code": "286075025",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.