Active NPI
Carlo Decandia
- Endodontics
- McAllen, TX
National Provider Identifier
1043844434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 25367
- Practice address
- 233 E Emory Ave
McAllen, TX 78504-5670 - Phone
- (956) 631-9420
- NPI assigned
- Feb 25, 2020
- Last updated
- Aug 8, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 36932 | TX | |
| Endodontics | 1223E0200X | 25367 | FL | Primary |
Addresses
Primary practice location
233 E Emory Ave
McAllen, TX 78504-5670
Mailing address
233 E Emory Ave
McAllen, TX 78504-5670
Phone (956) 451-7077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 11, 2025 through Feb 11, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36932 | TX | MD | Psychologist |
| 25367 | FL | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endodontic Associates of Trinity P.a. | Endodontics | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Endodontics
- Trinity, FL
- NPI 1992978761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1043844434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 E EMORY AVE",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785045670",
"telephone_number": "956-451-7077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 E EMORY AVE",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785045670",
"telephone_number": "956-631-9420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECANDIA",
"first_name": "CARLO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-25",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "36932",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "25367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.