Active NPI
David Wayne Candelario, DO
- Family Medicine Physician
- Frisco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- P6149
- Practice address
- 5858 Main St Ste 130
Frisco, TX 75033-4507 - Phone
- (214) 387-4073
- Fax
- (214) 387-8395
- NPI assigned
- Apr 7, 2010
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | P6149 | TX | Primary |
Addresses
Primary practice location
5858 Main St Ste 130
Frisco, TX 75033-4507
Mailing address
5858 Main St Ste 130
Frisco, TX 75033-4507
Phone (214) 387-4073
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 342756YZNA | Other | TX | MEDICARE |
| 342756ZMCY | Other | TX | MEDICARE |
| 335834302 | Medicaid | TX |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4928 Samuell Blvd
Mesquite, TX 75149-1027
Phone (214) 328-1400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P6149 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care P.a. | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients | |
| American Current Care, P.a. | Current | Accepting new patients | |
| Texas Health Physicians Group | Family Medicine | Current | Accepting new patients |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Fannin County Hospital Authority | Past | Accepting new patients | |
| Primamed Physicians PLLC | Past | Accepting new patients |
Locations
15810 Midway Rd
Addison, TX 75001
Phone (972) 458-8111
4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500
4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255
1002 Abc Ave
Ste 600
Freeport, TX 77541
Phone (979) 233-6571
5858 Main St
Ste 130
Frisco, TX 75033
Phone (214) 387-4073
12345 Katy Fwy
Houston, TX 77079
Phone (281) 679-5600
4928 Samuell Blvd
Mesquite, TX 75149
Phone (214) 328-1400
341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996
Interoperability endpoints
- dcandelario1288359@direct.texashealth.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Addison, TX
- NPI 1275651002
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
Family Medicine
-
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1083806822
-
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
-
- Sleep Disorder Diagnostic Clinic/Center
- Fort Worth, TX
- NPI 1114395969
-
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
-
- Pain Medicine (Anesthesiology) Physician
- Bonham, TX
- NPI 1437486867
-
- Urgent Care Clinic/Center
- Plano, TX
- NPI 1619922549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557187200000",
"number": "1780900340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5858 MAIN ST STE 130",
"city": "FRISCO",
"state": "TX",
"postal_code": "750334507",
"telephone_number": "214-387-4073",
"fax_number": "214-387-8395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5858 MAIN ST STE 130",
"city": "FRISCO",
"state": "TX",
"postal_code": "750334507",
"telephone_number": "214-387-4073",
"fax_number": "214-387-8395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANDELARIO",
"first_name": "DAVID",
"middle_name": "WAYNE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-07",
"last_updated": "2019-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "P6149",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "342756YZNA",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "342756ZMCY",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "335834302",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.