Individual provider Active NPI

Candace C Moltz, MS, CCC

  • Speech-Language Pathologist
  • Dallas, TX
National Provider Identifier
1487760096
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13344 Issued in TX
Practice address
4500 S Lancaster Rd
Asps (126)
Dallas, TX 75216-7167
Phone
(214) 857-0951
Fax
(214) 857-0999
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 13344 TX Primary

Addresses

Primary practice location

4500 S Lancaster Rd
Asps (126)
Dallas, TX 75216-7167

Mailing address

2431 Clearview Dr
Midlothian, TX 76065-5459
Phone (214) 857-0951

Other names 1

  • Candy Moltz Other name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
13344TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487760096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 CLEARVIEW DR",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760655459",
            "telephone_number": "214-857-0951",
            "fax_number": "214-857-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S LANCASTER RD",
            "address_2": "ASPS (126)",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167167",
            "telephone_number": "214-857-0951",
            "fax_number": "214-857-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLTZ",
        "first_name": "CANDACE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "13344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDY",
            "last_name": "MOLTZ",
            "credential": "MS, CCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.