Organization Active NPI

Canon Elementary School District

  • Local Education Agency (LEA)
  • Black Canyon City, AZ
National Provider Identifier
1508079518
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
CANON ELEMENTARY SCHOOL DISTRICT
Practice address
34630 S School Loop Rd.
Black Canyon City, AZ 85324-0089
Phone
(623) 374-5588
Fax
(623) 374-5046
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Vicki Elkins
Title
Superintendent
Phone
(623) 374-5588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

34630 S School Loop Rd.
Black Canyon City, AZ 85324-0089

Mailing address

PO Box 89
34630 S School Loop Rd
Black Canyon City, AZ 85324-0089
Phone (623) 374-5588

Other identifiers 1

IdentifierTypeStateIssuer
55820825OtherAZUSER ID

National Provider Directory

National Provider Directory

Locations

34630 S School Loop Rd
Black Canyon City, AZ 85324
Phone (623) 374-5588

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508079518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 89",
            "address_2": "34630 S SCHOOL LOOP RD",
            "city": "BLACK CANYON CITY",
            "state": "AZ",
            "postal_code": "853240089",
            "telephone_number": "623-374-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34630 S SCHOOL LOOP RD.",
            "city": "BLACK CANYON CITY",
            "state": "AZ",
            "postal_code": "853240089",
            "telephone_number": "623-374-5588",
            "fax_number": "623-374-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANON ELEMENTARY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELKINS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "623-374-5588",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USER ID",
            "identifier": "55820825",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Canyon City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.