Provider Demographics
NPI:1346729951
Name:KANTER, BARON BASS (DC)
Entity Type:Individual
Prefix:DR
First Name:BARON
Middle Name:BASS
Last Name:KANTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6914 BLUE MESA DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-6140
Mailing Address - Country:US
Mailing Address - Phone:214-680-8883
Mailing Address - Fax:
Practice Address - Street 1:800 W AIRPORT FWY STE 810
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-6285
Practice Address - Country:US
Practice Address - Phone:972-392-3400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-14
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13884111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor