Canton Dermatology, P.C.
Canton Dermatology, P.C. is a healthcare organization registered as Dermatology Physician in Canton, MI, holding Type 2 (organization) NPI 1013986645 since 2006. The authorized official on file is Sue Mark, Medical Biller.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1013986645 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Canton Dermatology, P.C. |
| Practice address | 8584 N CANTON CENTER RD, Canton, MI, 48187 |
| Phone | 7344554917 |
| Enumeration date | 2006-03-16 |
| Last updated in NPPES | 2008-02-15 |
Authorized official
| Name | Sue Mark |
|---|---|
| Title | Medical Biller |
| Phone | 7344554917 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207N00000X | Dermatology Physician | Primary | DB032249 | MI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B5020 | Other | MI | MCARE |
| C2791 | Other | MI | MCARE |
| 101256 | Other | MI | CARE CHOICES |
| 2363389001 | Other | MI | CIGNA |
| 4072568 | Other | MI | AETNA |
| 4139614 | Other | MI | AETNA |
| 3899973001 | Other | MI | CIGNA |
| 64889B | Other | MI | HEALTH ALLIANCE PLAN |
| 102494 | Other | MI | CARE CHOICES |
| 64889A | Other | MI | HEALTH ALLIANCE PLAN |
Copy-ready billing details
Provider: Canton Dermatology, P.C. NPI: 1013986645 Taxonomy: 207N00000X (Dermatology Physician) Address: 8584 N CANTON CENTER RD, Canton, MI, 48187
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1295704815 | Ann Lafond | Individual | Dermatology Physician | Canton, MI |
| 1508835752 | David Blum | Individual | Dermatology Physician | Canton, MI |
| 1003858739 | Cynthia Shaft | Individual | Chiropractor | Canton, MI |
| 1073393005 | Jeremiah M Shaft Dc Pllc | Organization | Chiropractor | Canton, MI |
Verify this record
Cross-check NPI 1013986645 against the authoritative CMS record: view Canton Dermatology, P.C. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Canton Dermatology, P.C.?
What is the NPI number for Canton Dermatology, P.C.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-02-15.