Active NPI
Edward Morris Kantor, D.D.S.
- Dentist
- Marcellus, NY
National Provider Identifier
1871685602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 029733-1
- Practice address
- 28 1/2 E Main St
Marcellus, NY 13108-1226 - Phone
- (315) 673-3102
- Fax
- (315) 673-2252
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 029733-1 | NY | Primary |
Addresses
Primary practice location
28 1/2 E Main St
Marcellus, NY 13108-1226
Mailing address
28 1/2 E Main St
Marcellus, NY 13108-1226
Phone (315) 673-3102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029733-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871685602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 1/2 E MAIN ST",
"city": "MARCELLUS",
"state": "NY",
"postal_code": "131081226",
"telephone_number": "315-673-3102",
"fax_number": "315-673-2252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 1/2 E MAIN ST",
"city": "MARCELLUS",
"state": "NY",
"postal_code": "131081226",
"telephone_number": "315-673-3102",
"fax_number": "315-673-2252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANTOR",
"first_name": "EDWARD",
"middle_name": "MORRIS",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "029733-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marcellus, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.