Individual provider Active NPI

Adam Harris Cantor, D.C

  • Chiropractor
  • San Anselmo, CA
National Provider Identifier
1942226964
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0028460 Issued in CA
Practice address
754 Sir Francis Drake Blvd Ste 2
San Anselmo, CA 94960-1933
Phone
(415) 454-9600
Fax
(415) 454-3509
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0028460 CA Primary

Addresses

Primary practice location

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

Mailing address

754 Sir Francis Drake Blvd Ste 2
San Anselmo, CA 94960-1933
Phone (415) 454-9600

Other identifiers 3

IdentifierTypeStateIssuer
DB467ZOtherCAMEDICARE PTAN
DC0284600OtherCAMEDICARE PTAN
DC0284601OtherCAMEDICARE PTAN

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

State licenses

LicenseStateTypeSpecialty
DC0028460CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1942226964",
    "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": {
        "last_name": "CANTOR",
        "first_name": "ADAM",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0028460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DB467Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DC0284600",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DC0284601",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Anselmo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.