Adam Cantor Professional Chiropractic Corp.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC0028460 Issued in CA

Legal business name

ADAM CANTOR PROFESSIONAL CHIROPRACTIC CORP.

Practice address

754 Sir Francis Drake Blvd Ste 2
San Anselmo, CA 94960-1933

Phone

(415) 454-9600

Fax

(415) 454-3509

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Adam Harris Cantor, D.C

Title

Owner

Phone

(415) 454-9600

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Cantor Chiropractic Center Doing business as

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1790837730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 SIR FRANCIS DRAKE BLVD STE 2",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601933",
            "telephone_number": "415-454-9600",
            "fax_number": "415-454-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 SIR FRANCIS DRAKE BLVD STE 2",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601933",
            "telephone_number": "415-454-9600",
            "fax_number": "415-454-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM CANTOR PROFESSIONAL CHIROPRACTIC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "CANTOR",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-454-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0028460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DC0284601",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ZZZ05059Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cantor Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 46 Mariposa LLC
• Peggy Abdo
• Jill Abram, RN
• Jacques Achsen
• Anthony Frank Agresti, LMT
• Patricia Alioto, P.A.
• Judy Daya Alpine, LAC.
• Holly Suzanne Andrew, PSYD
• Erica Stroeh Antonio, MFT

• Chiropractor in San Anselmo, CA
• Providers in San Anselmo, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.