NPIMap

Individual provider Active NPI

Mark D Canty, MD

  • Family Medicine Physician
  • Sparks, NV
National Provider Identifier
1962573626
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15475 Issued in NV
Practice address
1835 Oddie Blvd
Sparks, NV 89431-3559
Phone
(775) 982-5140
Fax
(775) 982-5141
NPI assigned
Nov 13, 2006
Last updated
Jan 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-082935 IL
Family Medicine Physician 207Q00000X 15475 NV Primary

Addresses

Primary practice location

1835 Oddie Blvd
Sparks, NV 89431-3559

Mailing address

780 Kuenzli St
Reno, NV 89502-0845
Phone (775) 982-5262

Other identifiers 2

IdentifierTypeStateIssuer
036082935MedicaidIL
833230OtherMEDICARE GROUP # FOR PONTIAC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040318001601 CA Practitioner - Family Practice 0840180113 Reassigns benefits to 2 organizations
I20160208000618 NV Practitioner - Family Practice 0840180113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Baylor College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH Specialty Services NV Requeijo PCGroup PAC ID 7618341926, 22 clinicians
Curana Health of Nevada PLLCGroup PAC ID 0648515262, 13 clinicians

Practice addresses (Care Compare)

1001 Mountain St
Carson City, NV 89703-3848
Phone (337) 991-9276

5351 Montessouri St
Las Vegas, NV 89113-1126
Phone (737) 226-6700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15475NVMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
036-082935ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services NV Requeijo PC CurrentSince Jul 6, 2023 Accepting new patients
Curana Health of Nevada PLLC CurrentSince Oct 18, 2019 Accepting new patients
California PHS PC Family Medicine CurrentSince Sep 7, 2022 Accepting new patients
Curana Health of California PC CurrentSince Jun 1, 2024 Accepting new patients
Covenant Care Carson, LLC Past Accepting new patients
Carson City SNF Ventures LLC Past Accepting new patients
Providence Facey Medical Foundation Past Accepting new patients

Locations

128 N 4th St
Alhambra, CA 91801
Phone (626) 656-6200

1420 E Palomar St
Chula Vista, CA 91913

7638 N Ingram Ave
#111A
Fresno, CA 93711

3415 S Sepulveda Blvd
Ste 1100
Los Angeles, CA 90034
Phone (424) 348-4558

1900 Coffee Rd
Modesto, CA 95355
Phone (209) 491-0904

2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271

3550 Churn Creek Rd
Redding, CA 96002
Phone (530) 222-3630

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

1001 Mountain St
Carson City, NV 89703
Phone (775) 222-0045

5351 Montessouri St
Las Vegas, NV 89113
Phone (702) 251-2200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Northstar Post AcuteCarson City, NV, CCN 295023 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2025
Aug 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1962573626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 KUENZLI ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895020845",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 ODDIE BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894313559",
            "telephone_number": "775-982-5140",
            "fax_number": "775-982-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTY",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-082935",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "15475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036082935",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP # FOR PONTIAC",
            "identifier": "833230",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.