Candice Martin Demattia, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M2305 Issued in TX

Practice address

425 Holderrieth Blvd Ste 114
Tomball, TX 77375-5189

Phone

(281) 475-7599

Fax

(833) 973-3832

NPI assigned

May 24, 2006

Last updated

Sep 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: candice.demattia.1@31515.direct.athenahealth.com

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.

• Groundswell, LLC

  dba Counseling and Recovery Services

  • Methadone Clinic
  • Tomball, TX
  • NPI 1700918992
  NPD
• Aligned Therapeutic Providers PLLC

  • Multi-Specialty Clinic/Center
  • Tomball, TX
  • NPI 1043103351
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1669427670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HOLDERRIETH BLVD STE 114",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773755189",
            "telephone_number": "281-475-7599",
            "fax_number": "833-973-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HOLDERRIETH BLVD STE 114",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773755189",
            "telephone_number": "281-475-7599",
            "fax_number": "833-973-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMATTIA",
        "first_name": "CANDICE",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M2305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE",
            "identifier": "8G4046",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DDRG Physicians LLC
• Carolina De Jongh
• Gabrielle De Villa, SLPA
• Melanie Debakey
• Rachel Deloach
• Jason Kelly Demattia, MD
• Erin Dennis
• Kortney Dennis, PHARMD
• Teresa Denson, APRN
• Dental Health Associates of Texas, PC (Wainwright Dental & Associates)

• Family Medicine Physician in Tomball, TX
• Providers in Tomball, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.