Individual provider Active NPI

Marven Denis Cantave, RD

  • Registered Dietitian
  • Lexington, MS
National Provider Identifier
1942978747
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
D-2135 Issued in MS
Practice address
208 Court SQ
Lexington, MS 39095-3628
Phone
(216) 633-8189
NPI assigned
Sep 6, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X D-2135 MS Primary

Addresses

Primary practice location

208 Court SQ
Lexington, MS 39095-3628

Mailing address

208 Court SQ
Lexington, MS 39095-3628

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@mntdelta.com

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
D-2135MSMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1630886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1942978747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 COURT SQ",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390953628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 COURT SQ",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390953628",
            "telephone_number": "216-633-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTAVE",
        "first_name": "MARVEN",
        "middle_name": "DENIS",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-06",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MS",
            "license": "D-2135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@mntdelta.com",
            "affiliation": "N",
            "address_1": "208 Court Sq",
            "city": "Lexington",
            "state": "MS",
            "country_code": "US",
            "postal_code": "390953628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.