Individual provider Active NPI

Daniel Kantor, M.D.

  • Neurology Physician
  • Coconut Creek, FL
National Provider Identifier
1881637858
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME95890 Issued in FL
Practice address
4851 W Hillsboro Blvd Ste A1
Coconut Creek, FL 33073-4355
Phone
(561) 571-1198
Fax
(754) 333-8264
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME95890 FL Primary

Addresses

Primary practice location

4851 W Hillsboro Blvd Ste A1
Coconut Creek, FL 33073-4355

Mailing address

4851 W Hillsboro Blvd Ste A1
Coconut Creek, FL 33073-4355
Phone (561) 571-1198

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME95890FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurologique Foundation, Inc. CurrentSince Jul 20, 2010 Accepting new patients

Locations

4851 W Hillsboro Blvd
Ste A1
Coconut Creek, FL 33073
Phone (561) 463-2235

6 Fairfield Blvd
Ste 11
Ponte Vedra Beach, FL 32082
Phone (904) 834-3007

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1881637858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 W HILLSBORO BLVD STE A1",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734355",
            "telephone_number": "561-571-1198",
            "fax_number": "754-333-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 W HILLSBORO BLVD STE A1",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734355",
            "telephone_number": "561-571-1198",
            "fax_number": "754-333-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTOR",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME95890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.