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CANYON PAIN AND SPINE
NPI 1104590512
Pain Medicine - Interventional Pain Medicine in Glendale, AZ

Active since August 09, 2021CLIA Certified · 8 labs
6320 W UNION HILLS DR STE A270, GLENDALE, AZ 85308(480) 561-5000 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Canyon Pain And Spine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANYON PAIN AND SPINE (NPI 1104590512) is a healthcare organization registered as an interventional pain medicine in Glendale, Arizona and active in the NPI registry since August 2021. The organization holds 8 active CLIA laboratory certificates and lists Kirk George Bowden, Owner, as its authorized official.

NPPES Registry Identity

NPI1104590512
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameCANYON PAIN AND SPINE
Location Address6320 W UNION HILLS DR STE A270Glendale, AZ 85308-7175
Mailing Address6320 W Union Hills Dr Ste A270Glendale, AZ 85308-7175
Phone(480) 561-5000
Organization SubpartNo
Authorized OfficialKirk George BowdenOwner · (480) 889-0255
Enumeration DateAugust 9, 2021
NPPES CertifiedAugust 9, 2021
✔ NPI 1104590512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
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.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
6320 W UNION HILLS DR STE A270, Glendale, AZ 85308
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 8

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2222230

Canyon Pain And Spine · Glendale, AZ
Active · expires Apr 26, 2027
CLIA Number03D2222230
Laboratory TypePhysician Office
Certificate Effective DateApril 27, 2025
Certificate Expiration DateApril 26, 2027
Laboratory DirectorOmar Syed
Laboratory Phone(623) 250-5288
Laboratory LocationCanyon Pain And Spine6320 W Union Hills Dr Ste A270, Glendale, AZ 85308
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2238467

Canyon Pain And Spine · Queen Creek, AZ
Active · expires Oct 3, 2027
CLIA Number03D2238467
Laboratory TypePhysician Office
Certificate Effective DateOctober 4, 2025
Certificate Expiration DateOctober 3, 2027
Laboratory DirectorRyan D. Gibb
Laboratory Phone(480) 561-5000
Laboratory LocationCanyon Pain And Spine21321 E Ocotillo Rd #125, Queen Creek, AZ 85142
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2289031

Canyon Pain And Spine · Gilbert, AZ
Active · expires Sep 4, 2027
CLIA Number03D2289031
Laboratory TypePhysician Office
Certificate Effective DateSeptember 5, 2025
Certificate Expiration DateSeptember 4, 2027
Laboratory DirectorRyan Gibb
Laboratory Phone(480) 561-5000
Laboratory LocationCanyon Pain And Spine1425 S Higley Rd Ste 102, Gilbert, AZ 85296
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2284687

Canyon Pain And Spine · Sun City, AZ
Active · expires Jun 26, 2027
CLIA Number03D2284687
Laboratory TypePhysician Office
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorOmar Syed
Laboratory Phone(480) 561-5000
Laboratory LocationCanyon Pain And Spine13920 W Camino Del Sol Ste 8, Sun City, AZ 85379
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2215113

Canyon Pain And Spine · Mesa, AZ
Active · expires Feb 28, 2027
CLIA Number03D2215113
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorKirk Bowden
Laboratory Phone(480) 561-5000
Laboratory LocationCanyon Pain And Spine4566 E Inverness Ave Ste 108, Mesa, AZ 85206
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2215114

Canyon Pain And Spine · Mesa, AZ
Active · expires Feb 28, 2027
CLIA Number03D2215114
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorOmar Syed
Laboratory Phone(480) 561-5000
Laboratory LocationCanyon Pain And Spine10238 E Hampton Ave Ste 416, Mesa, AZ 85209
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Canyon Pain And Spine's NPI number?

The NPI number for Canyon Pain And Spine is 1104590512. It was assigned to this organization in the NPPES registry on August 9, 2021.

Where is Canyon Pain And Spine located?

Canyon Pain And Spine is located at 6320 W Union Hills Dr Ste A270, Glendale, AZ 85308. The listed phone number is (480) 561-5000.

What is Canyon Pain And Spine's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does Canyon Pain And Spine hold CLIA laboratory certificates?

Yes. 8 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Canyon Pain And Spine was last updated on August 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.