Active NPI
Phillip Candland
- Rehabilitation Practitioner
- Las Vegas, NV
National Provider Identifier
1831589019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 6077 Enchanted Peak Ave
Las Vegas, NV 89110-6713 - Phone
- (702) 483-9585
- NPI assigned
- Jan 27, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
6077 Enchanted Peak Ave
Las Vegas, NV 89110-6713
Mailing address
6077 Enchanted Peak Ave
Las Vegas, NV 89110-6713
Phone (702) 483-9585
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 |
|---|---|---|---|
| Brightside Counseling | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hildale, UT
- NPI 1932772415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423180800000",
"number": "1831589019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6077 ENCHANTED PEAK AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891106713",
"telephone_number": "702-483-9585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6077 ENCHANTED PEAK AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891106713",
"telephone_number": "702-483-9585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANDLAND",
"first_name": "PHILLIP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-27",
"last_updated": "2015-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.