Active NPI
Candid Michigan PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- New York, NY
National Provider Identifier
1265095764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- CANDID MICHIGAN PLLC
- Practice address
- 41 Union SQ W FL 2
New York, NY 10003-3235 - Phone
- (702) 738-5334
- NPI assigned
- Apr 19, 2019
- Last updated
- Apr 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas Shannon
- Title
- President
- Phone
- (702) 738-5334
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | NU | Primary |
Addresses
Primary practice location
41 Union SQ W FL 2
New York, NY 10003-3235
Mailing address
41 Union SQ W FL 2
New York, NY 10003-3235
National Provider Directory
National Provider DirectoryLocations
41 Union Sq W
Fl 2
New York, NY 10003
Phone (702) 738-5334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555632000000",
"number": "1265095764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 UNION SQ W FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 UNION SQ W FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033235",
"telephone_number": "702-738-5334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANDID MICHIGAN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-19",
"last_updated": "2019-04-19",
"status": "A",
"authorized_official_last_name": "SHANNON",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "702-738-5334",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.