Organization Active NPI

Candid Wyoming, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Casper, WY
National Provider Identifier
1093322109
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CANDID WYOMING, P.C.
Practice address
5830 E 2ND St
Casper, WY 82609-4308
Phone
(860) 481-7631
NPI assigned
Sep 23, 2020
Last updated
Sep 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Authorized official

Name
Thomas Shannon
Title
DDS
Phone
(860) 481-7631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

5830 E 2ND St
Casper, WY 82609-4308

Mailing address

5830 E 2ND St
Casper, WY 82609-4308
Phone (860) 481-7631

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1093322109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094308",
            "telephone_number": "860-481-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094308",
            "telephone_number": "860-481-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDID WYOMING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "860-481-7631"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.