How provider data works

Does Candor Health replace NPPES and CAQH?

No. NPPES and CAQH are inputs. Candor Health takes both in alongside 120,000+ other sources and 4 billion+ claims a month, then scores what is true today. You keep using them for what they are for.

The plain answer

NPPES and CAQH record what providers report, and Candor Health checks what is actually true

Both registries are essential, and both depend on the provider updating their own record. That is the gap Candor Health fills.

  1. 01

    What is NPPES?

    NPPES is the CMS system that issues National Provider Identifiers. Providers report and update their own records, which they must do within 30 days of a change, and CMS publishes the data free through the NPI Registry, an API and bulk files. It is the authoritative source for the NPI itself.

    CMS: NPPES data dissemination
  2. 02

    What is CAQH?

    CAQH, rebranded DataSpring in 2026 and now owned by a group of health plans, runs the portal where clinicians self-report their credentials and practice data once and re-attest every 120 days for the health plans they authorize. It is the standard source for credentialing data.

    DataSpring for clinicians
  3. 03

    Where do self-reported registries fall short for a directory?

    A record only changes when the provider acts. Between updates, a provider can move, retire or leave a network and the registry still lists them. Sidecar Health removed 140,000 inactive and retired provider records that NPPES still listed, and CMS found at least one inaccuracy at 48.74% of the directory locations it reviewed.

    Sidecar Health case study
  4. 04

    What does Candor Health add?

    Candor Health takes NPPES and CAQH in as two of 120,000+ sources, cross-checks them against 4 billion+ claims a month and other evidence, scores every field for confidence and republishes daily. Every record stays keyed to the NPI, with CCN and TIN mapped, so it drops into the systems that already use those identifiers.

    Candor Health: verified company information

Who does this

What NPPES and CAQH each do

The two registries most provider records start from, and how Candor Health uses them.

  • The CMS system that issues National Provider Identifiers. Providers update their own records within 30 days of a change, and CMS publishes the data free by registry, API and bulk files.

    With Candor Health

    Every Candor Health record is keyed to the NPI. NPPES is one input, checked against claims and other sources.

  • CAQH, now DataSpring logo

    CAQH, now DataSpring

    DataSpring for clinicians

    Where clinicians self-report credentials and practice data once and re-attest every 120 days for the health plans they authorize. Rebranded DataSpring in 2026.

    With Candor Health

    Candor Health takes CAQH data in as one of 120,000+ sources and checks it against claims, so the record stays right between re-attestations.

FAQ

Other questions people ask

  • Yes. CMS publishes it free through the NPI Registry, an API and monthly bulk files. Candor Health uses it as one input and adds verification on top.

  • Yes, for credentialing and attested data. Candor Health does not replace it. It checks the attested data against claims and other sources so the directory stays right between attestations.

  • Yes. Every Candor Health record is keyed to the provider's NPI, with CCN and TIN mapped as well.

  • Candor Health refreshes 95%+ of its sources monthly and republishes daily. NPPES changes when a provider submits an update, which they are required to do within 30 days.

See how much of your NPPES-based directory is still right

Send the roster. Candor Health checks every location, phone number and specialty against its validated data and shows what to fix first.