Individual provider Active NPI

David M Candelario, RRT-NPS/RRT-SDS

  • Critical Care Registered Respiratory Therapist
  • Kalamazoo, MI
National Provider Identifier
1356670806
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Registered Respiratory TherapistTaxonomy code 2279C0205X
License
100129 Issued in KS
Practice address
1612 Homecrest Ave
Kalamazoo, MI 49001-4352
Phone
(269) 343-4421
NPI assigned
Dec 11, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Respiratory/Developmental/Rehabilitative Specialist/Technologist 225500000X 100129 KS
Critical Care Certified Respiratory Therapist 2278C0205X 100129 KS
Critical Care Registered Respiratory Therapist 2279C0205X 100129 KS Primary
Critical Care Registered Respiratory Therapist 2279C0205X 4401004345 MI
Critical Care Registered Respiratory Therapist 2279C0205X 26818 CA
Neonatal/Pediatric Registered Respiratory Therapist 2279P3900X 100129 KS
Pulmonary Diagnostics Registered Respiratory Therapist 2279P1004X 100129 KS

Addresses

Primary practice location

1612 Homecrest Ave
Kalamazoo, MI 49001-4352

Mailing address

1612 Homecrest Ave
Kalamazoo, MI 49001-4352
Phone (269) 343-4421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
100129KSMDRespiratory/Developmental/Rehabilitative Specialist/Technologist
26818CAMDCritical Care Registered Respiratory Therapist
4401004345MIMDCritical Care Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1356670806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 HOMECREST AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014352",
            "telephone_number": "269-343-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 HOMECREST AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014352",
            "telephone_number": "269-343-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDELARIO",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "RRT-NPS/RRT-SDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-11",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "KS",
            "license": "100129",
            "primary": false
        },
        {
            "code": "2278C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Critical Care",
            "state": "KS",
            "license": "100129",
            "primary": false
        },
        {
            "code": "2279C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Critical Care",
            "state": "KS",
            "license": "100129",
            "primary": true
        },
        {
            "code": "2279C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Critical Care",
            "state": "MI",
            "license": "4401004345",
            "primary": false
        },
        {
            "code": "2279C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Critical Care",
            "state": "CA",
            "license": "26818",
            "primary": false
        },
        {
            "code": "2279P3900X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Neonatal/Pediatrics",
            "state": "KS",
            "license": "100129",
            "primary": false
        },
        {
            "code": "2279P1004X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Diagnostics",
            "state": "KS",
            "license": "100129",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.