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NPI · 1104590512 · NPPES-sourced

Canyon Pain And Spine

ActivePain Medicine
NPI Number
1104590512
Type 2 · Organisation
Taxonomy Code
208VP0014X
Contact
(480) 561-5000
Primary practice line
Last Updated
About 4 years ago (Aug 2021)
Enumerated 2021-08-09
Primary practice addressAZ · 85308-7175
6320 W Union Hills Dr Ste A270Glendale, AZ 85308-7175
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About this NPIWhat this record shows.

NPI 1104590512 is registered to Canyon Pain And Spine, a healthcare organisation classified as "Pain Medicine" and located at 6320 W Union Hills Dr Ste A270 in Glendale, Arizona. The organisation's authorised official is Kirk Bowden. The organisation has been enumerated in the NPI registry since 2021.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2021-08-09
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

DME Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Canyon Pain And Spine accepts. To confirm in-network status with your specific health plan, contact Canyon Pain And Spine directly at (480) 561-5000.

Frequently asked

Yes. NPI 1104590512 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pain Medicine is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (480) 561-5000.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Canyon Pain And Spine is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy208VP0014X
Last updated2021-08
Enumerated2021-08-09
StatusActive
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