Individual provider Active NPI

David McCandless, M.D.

  • Family Medicine Physician
  • Kailua Kona, HI
National Provider Identifier
1104982909
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2713 Issued in AK
Practice address
78-6831 Alii Dr Ste 418
Kailua Kona, HI 96740-5403
Phone
(808) 747-8725
Fax
(808) 331-8682
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2713 AK Primary

Addresses

Primary practice location

78-6831 Alii Dr Ste 418
Kailua Kona, HI 96740-5403

Mailing address

77-116 Nahale Place
Kailua Kona, HI 96740
Phone (808) 278-0482

Other practice location 1

75-5751 Kuakini Hwy
Kailua Kona, HI 96740-1752
Phone (808) 326-5629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170921003505 HI Practitioner - Family Practice 1355324484 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2713AKMDFamily Medicine Physician

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
Alii Health Center CurrentSince Feb 14, 2021 Accepting new patients
Southeast Alaska Regional Health Consortium Past Accepting new patients
Alaska Island Community Services Past Accepting new patients
Gustavus Community Clinic Inc Past Accepting new patients
Wrangell Medical Center Past Accepting new patients

Locations

78-6831 Alii Dr
Ste 418
Kailua Kona, HI 96740
Phone (808) 747-8725

Networks

  • HI PPO

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1104982909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77-116 NAHALE PLACE",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "96740",
            "telephone_number": "808-278-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78-6831 ALII DR STE 418",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967405403",
            "telephone_number": "808-747-8725",
            "fax_number": "808-331-8682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75-5751 Kuakini Hwy",
            "address_purpose": "LOCATION",
            "city": "Kailua Kona",
            "state": "HI",
            "postal_code": "967401752",
            "country_code": "US",
            "telephone_number": "808-326-5629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCANDLESS",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "2713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

Verify at the official NPI Registry.