CANTON PEDIATRICS P.C.
NPI 1487758843
Pediatrics in Phoenix, AZ

Active since September 07, 2006CLIA 03D1027653 · Waiver
4615 S CENTRAL AVE, SUITE A, PHOENIX, AZ 85040(602) 232-2737(602) 232-2736 Get Directions Write a Review

NPPES record last updated: October 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Canton Pediatrics P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANTON PEDIATRICS P.C. (NPI 1487758843) is a healthcare organization registered as a pediatrics in Phoenix, Arizona and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through July 5, 2028 and lists Lucas S Canton, Owner, as its authorized official.

NPPES Registry Identity

NPI1487758843
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCANTON PEDIATRICS P.C.
Location Address4615 S CENTRAL AVE, SUITE APhoenix, AZ 85040-2148
Mailing Address4615 S Central Ave, Suite APhoenix, AZ 85040-2148 · (602) 232-2737 · Fax (602) 232-2736
Fax(602) 232-2736
Organization SubpartNo
Authorized OfficialLucas S CantonOwner · (602) 232-2737
Enumeration DateSeptember 7, 2006
Last NPPES UpdateOctober 18, 2012
NPI 1487758843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4615 S CENTRAL AVE, Phoenix, AZ 85040

Other Identifiers 1

Other826688AZ · Ahcccs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D1027653

Canton Pediatrics · Phoenix, AZ
Active · expires Jul 5, 2028
CLIA Number03D1027653
Laboratory TypePhysician Office
Certificate Effective DateJuly 6, 2026
Certificate Expiration DateJuly 5, 2028
Laboratory DirectorLucas S. Canton, MD
Laboratory Phone(602) 232-2737
Laboratory LocationCanton Pediatrics4615 S Central Ave, Phoenix, AZ 85040
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
4615 S CENTRAL AVE
PHOENIX, AZ 85040
Pediatrics
4615 S CENTRAL AVE, SUITE A
PHOENIX, AZ 85040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Canton Pediatrics P.C.'s NPI number?

The NPI number for Canton Pediatrics P.C. is 1487758843. It was assigned to this organization in the NPPES registry on September 7, 2006.

Where is Canton Pediatrics P.C. located?

Canton Pediatrics P.C. is located at 4615 S Central Ave Suite A, Phoenix, AZ 85040. The listed phone number is (602) 232-2737.

What is Canton Pediatrics P.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Canton Pediatrics P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1027653) is associated with this NPI, valid through July 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Canton Pediatrics P.C. was last updated on October 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.