Active NPI
Andrea K Canton, LSW
- Social Worker
- Minot, ND
National Provider Identifier
1932299484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 3759
- Practice address
- 6301 19TH Ave NW
Minot, ND 58703 - Phone
- (701) 858-0115
- Fax
- (701) 852-1190
- NPI assigned
- Oct 13, 2006
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 3759 | ND | Primary |
Addresses
Primary practice location
6301 19TH Ave NW
Minot, ND 58703
Mailing address
PO Box 5007
Minot, ND 58702-5007
Phone (701) 858-0115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74030 | Medicaid | ND |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3759 | ND | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333065600000",
"number": "1932299484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5007",
"city": "MINOT",
"state": "ND",
"postal_code": "587025007",
"telephone_number": "701-858-0115",
"fax_number": "701-852-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 19TH AVE NW",
"city": "MINOT",
"state": "ND",
"postal_code": "58703",
"telephone_number": "701-858-0115",
"fax_number": "701-852-1190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTON",
"first_name": "ANDREA",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2012-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ND",
"license": "3759",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74030",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.