CANYON PAIN AND SPINE – NPI #1104590512
Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Health Care Provider Taxonomy Code for Pain Medicine

CANYON PAIN AND SPINE is a provider located in GLENDALE, AZ. NPPES has assigned the NPI number 1104590512 to CANYON PAIN AND SPINE on August 09, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CANYON PAIN AND SPINE below.

NPI Profile for
CANYON PAIN AND SPINE

NPI Number
1104590512
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CANYON PAIN AND SPINE
Primary location
6320 W UNION HILLS DR STE A270
GLENDALE, AZ 85308-7175
Phone: (480) 561-5000 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KIRK BOWDEN
OWNER
Phone: (480) 889-0255
Updated
Certification Date
Aug 09, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208VP0014X
- Pain Medicine / Interventional Pain Medicine (Primary)
208VP0000X
- Pain Medicine / Pain Medicine
207LP2900X
- Anesthesiology / Pain Medicine
207L00000X
- Anesthesiology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.