Candace Tate, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2902008916 Issued in MI

Practice address

816 Joslyn Ave
Pontiac, MI 48340-2919

Phone

(248) 758-1231

NPI assigned

Jun 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: candace.tate.p1@direct.oihn.nextgenshare.com

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.

• Oakland Integrated Healthcare Network

  dba Joslyn Smile Center

  • Federally Qualified Health Center (FQHC)
  • Pontiac, MI
  • NPI 1558629238
  NPD (past)

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1104487842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 JOSLYN AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483402919",
            "telephone_number": "248-758-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 JOSLYN AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483402919",
            "telephone_number": "248-758-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "CANDACE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MI",
            "license": "2902008916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prasanth Talluri
• Vevake Tandon, DDS
• Alexander David Tapper, M.D.
• Frank Tarn
• Syed Haris Tasleem, M.D.
• Robin Tate
• Prathusha Tatineny, M.D.
• Tima Fauz Tawil, MBBS
• Moonib Tayeb
• Donyae J Taylor

• Dental Hygienist in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Dental Hygienist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.