Individual provider Active NPI

David Norman Kantor, D.O.

  • Family Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1801994926
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R8687 Issued in MO
Practice address
8857 Ladue Rd Ste B
Saint Louis, MO 63124-2045
Phone
(314) 682-3626
Fax
(314) 590-5933
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R8687 MO Primary

Addresses

Primary practice location

8857 Ladue Rd Ste B
Saint Louis, MO 63124-2045

Mailing address

2325 Dougherty Ferry Rd
Ste 104
Saint Louis, MO 63122-3356
Phone (314) 821-6889

Other identifiers 2

IdentifierTypeStateIssuer
240189704MedicaidMO
080159785OtherMORR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20080408000088 MO Practitioner - Family Practice 3375620909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ladue Internal Medicine LLCGroup PAC ID 3870818784, 4 clinicians

Practice addresses (Care Compare)

8857 B Ladue Rd
Saint Louis, MO 63124-2058
Phone (314) 682-3626

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as apm
Quality
82.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R8687MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Physicians LLC Family Medicine CurrentSince May 1, 2018 Accepting new patients
Ladue Internal Medicine, LLC CurrentSince Nov 15, 2025 Accepting new patients
St. Lukes Medical Group Family Medicine PastSince Nov 15, 2025 Accepting new patients

Locations

8790 Watson Rd
Ste 103
Saint Louis, MO 63119
Phone (314) 252-0708

8857B Ladue Rd
Saint Louis, MO 63124
Phone (314) 682-3626

2325 Dougherty Ferry Rd
Ste 104
Saint Louis, MO 63122
Phone (314) 821-6889

8857 Ladue Rd
Ste B
Saint Louis, MO 63124
Phone (314) 682-3626

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1801994926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 DOUGHERTY FERRY RD",
            "address_2": "STE 104",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223356",
            "telephone_number": "314-821-6889",
            "fax_number": "314-821-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8857 LADUE RD STE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242045",
            "telephone_number": "314-682-3626",
            "fax_number": "314-590-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTOR",
        "first_name": "DAVID",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R8687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240189704",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080159785",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.