Candor Professional Services, LLC

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

CANDOR PROFESSIONAL SERVICES, LLC

Practice address

136 Northwest Dr
Bismarck, ND 58504-6657

Phone

(701) 425-9737

NPI assigned

Sep 7, 2020

Last updated

Sep 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Karen ClaytonNPI 1548874530

Title

Owner/Operator Ceo

Phone

(701) 425-9737

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen Lolita Clayton

  • Peer Specialist
  • Bismarck, ND
  • NPI 1548874530
  NPD Authorized official

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

{
    "created_epoch": "1599436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599436800000",
    "number": "1265046254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 NORTHWEST DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585046657",
            "telephone_number": "701-425-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 NORTHWEST DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585046657",
            "telephone_number": "701-425-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDOR PROFESSIONAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-07",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER/OPERATOR CEO",
        "authorized_official_telephone_number": "701-425-9737",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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