Organization Active NPI

Canon Clinic LLC

  • Family Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1528830965
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CANON CLINIC LLC
Practice address
821 N St Ste 102
Anchorage, AK 99501-3285
Phone
(907) 341-9771
NPI assigned
Oct 30, 2023
Last updated
Dec 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Authorized official

Name
Ngozi Njoku, FNPNPI 1366123598
Title
Co-Owner
Phone
(907) 341-9771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

821 N St Ste 102
Anchorage, AK 99501-3285

Mailing address

821 N St Ste 102
Anchorage, AK 99501-3285
Phone (907) 341-9771

Other names 1

  • n/a Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1528830965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 N ST STE 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013285",
            "telephone_number": "907-341-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N ST STE 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013285",
            "telephone_number": "907-341-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANON CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "NJOKU",
        "authorized_official_first_name": "NGOZI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "907-341-9771",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "n/a",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.