Individual provider Active NPI

Holly Bell Canaday, M.D.

  • Family Medicine Physician
  • Arlington, TX
National Provider Identifier
1255879581
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T0437 Issued in TX
Practice address
1015 Gibbins Rd Ste a
Arlington, TX 76011-5615
Phone
(972) 734-5400
Fax
(972) 734-5433
NPI assigned
Feb 7, 2017
Last updated
Feb 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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 T0437 TX Primary

Addresses

Primary practice location

1015 Gibbins Rd Ste a
Arlington, TX 76011-5615

Mailing address

1015 Gibbins Rd Ste a
Arlington, TX 76011-5615
Phone (972) 734-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210719000118 TX Practitioner - Family Practice 1658657044 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northwestern University Feinberg Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Faith LLCGroup PAC ID 9032512900, 10 clinicians

Practice addresses (Care Compare)

1015 Gibbins Rd
Suite a
Arlington, TX 76011-5615
Phone (972) 734-5400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Faith LLC CurrentSince Jul 1, 2021 Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 1, 2021 Accepting new patients
Vpa of Texas PLLC Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jul 1, 2021 Accepting new patients
Kumock PLLC CurrentSince Nov 5, 2023 Accepting new patients

Locations

1015 Gibbins Rd
Ste A
Arlington, TX 76011
Phone (972) 734-5400

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1255879581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 GIBBINS RD STE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115615",
            "telephone_number": "972-734-5400",
            "fax_number": "972-734-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 GIBBINS RD STE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115615",
            "telephone_number": "972-734-5400",
            "fax_number": "972-734-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANADAY",
        "first_name": "HOLLY",
        "middle_name": "BELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T0437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.