Active NPI
Honor Canon, MD
- Pediatrics Physician
- Austin, TX
National Provider Identifier
1043210347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- M6065
- Practice address
- 3816 S 1St St
Austin, TX 78704-7048 - Phone
- (512) 443-1311
- Fax
- (512) 448-8250
- NPI assigned
- Jul 28, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | M6065 | TX | Primary |
Addresses
Primary practice location
3816 S 1St St
Austin, TX 78704-7048
Mailing address
PO Box 26726
Austin, TX 78755-0726
Phone (512) 407-8686
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M6065 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Regional Clinic, PA | Past | Accepting new patients | |
| Pediatric Emergency Specialists, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Austin, TX
- NPI 1659691624
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Memphis, TN
- NPI 1760482434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193788800000",
"number": "1043210347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26726",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787550726",
"telephone_number": "512-407-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3816 S 1ST ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787047048",
"telephone_number": "512-443-1311",
"fax_number": "512-448-8250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANON",
"first_name": "HONOR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-28",
"last_updated": "2007-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "M6065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.