Active NPI
Mark Kandes
- Physical Therapist
- Southgate, MI
National Provider Identifier
1487154902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 16777 Northline Rd
Southgate, MI 48195-2789 - Phone
- (734) 246-8122
- NPI assigned
- Feb 21, 2018
- Last updated
- Mar 23, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
16777 Northline Rd
Southgate, MI 48195-2789
Mailing address
16777 Northline Rd
Southgate, MI 48195-2789
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mkandes615215@direct.hfhs.org | ||
| Direct Messaging Address | mkandes615215@direct.hfhs.org |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakwood Healthcare Inc | Past | Accepting new patients |
Interoperability endpoints
- mkandes615215@direct.hfhs.org
Organizations & group practices 1
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.
-
dba Corewell Health Retail Pharmacy Westland
- Community/Retail Pharmacy
- Westland, MI
- NPI 1033128178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1487154902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16777 NORTHLINE RD",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481952789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16777 NORTHLINE RD",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481952789",
"telephone_number": "734-246-8122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANDES",
"first_name": "MARK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-21",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mkandes615215@direct.hfhs.org",
"affiliation": "N",
"address_1": "7445 Allen Rd Ste 102",
"city": "Allen Park",
"state": "MI",
"country_code": "US",
"postal_code": "481011992",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mkandes615215@direct.hfhs.org",
"affiliation": "N",
"address_1": "7445 Allen Rd Ste 102",
"city": "Allen Park",
"state": "MI",
"country_code": "US",
"postal_code": "481011992",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Southgate, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.