Individual provider Active NPI

Michael Dan Cantor, DO

  • Interventional Cardiology Physician
  • Mooresville, NC
National Provider Identifier
1760635486
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
2016-01999 Issued in NC
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

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3109451MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 6305007279, 133 clinicians
Catawba Valley Medical CenterGroup PAC ID 0547178907, 105 clinicians

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 Hospital, Hickory, NC, CCN 340143
  • North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting12
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016-01999NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Presbyterian Hospital CurrentSince Aug 1, 2019 Accepting new patients
Catawba Valley Medical Group Inc CurrentSince Aug 4, 2025 Accepting new patients
Catawba Valley Medical Group, Inc Cardiovascular Disease CurrentSince Aug 4, 2025 Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Mar 30, 2020 Accepting new patients
Novant Health Ballantyne Medical Center LLC CurrentSince Aug 23, 2023 Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Aug 1, 2019 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 1, 2019 Accepting new patients
Charles a Cannon Jr Memorial Hospital Inc CurrentSince Nov 30, 2016 Accepting new patients
Watauga Medical Center Inc Cardiovascular Disease CurrentSince Oct 1, 2016 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 CurrentSince Aug 4, 2025 Accepting new patients
Catawba Valley Medical Center CurrentSince Aug 4, 2025 Accepting new patients
Catawba Valley Medical Group, Inc Current Accepting new patients
Novant Health Mint Hill Medical Center, LLC CurrentSince Aug 1, 2019 Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc Current Accepting new patients
Novant Health Rowan Medical Center LLC CurrentSince Mar 30, 2020 Accepting new patients
The Presbyterian Hospital CurrentSince Aug 1, 2019 Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc. Cardiovascular Disease CurrentSince Nov 30, 2016 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

  • Direct secure messaging: mcantor733287@direct.novanthealth.org
  • Direct secure messaging: 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.

View all 28

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.