Individual provider Active NPI

David Wayne Candelario, DO

  • Family Medicine Physician
  • Frisco, TX
National Provider Identifier
1780900340
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P6149 Issued in TX
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

Updated by the provider on May 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
342756YZNAOtherTXMEDICARE
342756ZMCYOtherTXMEDICARE
335834302MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140505000328 TX Practitioner - Family Practice 5991938680 Reassigns benefits to 2 organizations

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
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

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

LicenseStateTypeSpecialty
P6149TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Sep 24, 2024 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
American Current Care P.a. CurrentSince Sep 24, 2024 Accepting new patients
American Current Care, P.a. Current Accepting new patients
Texas Health Physicians Group Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Texas Health Physicians Group CurrentSince Oct 1, 2017 Accepting new patients
Fannin County Hospital Authority Past Accepting new patients
Primamed Physicians PLLC PastSince Feb 9, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.