Edgar Candido, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH61035343 Issued in WA

Practice address

1211 Minor CT
Grandview, WA 98930-4800

Phone

(509) 305-7808

NPI assigned

Jan 28, 2020

Sex

Male

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)

Enrolled

Practice roles

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.

• Valley Mobile Chiropractic and Sports Medicine

  dba House Call Chiropractic

  • Chiropractor
  • Grandview, WA
  • NPI 1437817517
  NPD Authorized official

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1144851296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 MINOR CT",
            "city": "GRANDVIEW",
            "state": "WA",
            "postal_code": "989304800",
            "telephone_number": "509-305-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 MINOR CT",
            "city": "GRANDVIEW",
            "state": "WA",
            "postal_code": "989304800",
            "telephone_number": "509-305-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDIDO",
        "first_name": "EDGAR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-28",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61035343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Dewayne Byam, D.C.
• Max Jin Zhe Cai, DDS
• Christopher Calderon-Rogers, MD
• Camacho Chiropractic and Sports Medicine LLC
• Juan Ramon Camacho, DC
• Samantha Marie Canoy
• Care Center (Grandview) Inc. (Prestige Care & Rehabilitation - Grandview)
• Elba Carrillo
• Isis Nayeli Carrillo
• Vincent R Carrillo III

• Chiropractor in Grandview, WA
• Providers in Grandview, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.