CANYON PAIN AND SPINE – NPI #1770257180
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.

CANYON PAIN AND SPINE is a provider located in MESA, AZ. NPPES has assigned the NPI number 1770257180 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 Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 3 years ago on Jul 10, 2023. 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
1770257180
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
4540 E BASELINE RD STE 117
MESA, AZ 85206-4617
Phone: (480) 561-5000 Fax: (480) 591-0502
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KIRK BOWDEN
OWNER
Phone: (480) 889-0255
Updated
Certification Date
Jul 10, 2023

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.

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.