CANYON VISTA DENTISTRY AND ORTHODONTICS
NPI 1194048744
Dentist - General Practice in Phoenix, AZ

Q: What is Canyon Vista Dentistry And Orthodontics,llp's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since March 10, 2010

25155 N 67TH AVE STE 142, PHOENIX, AZ 85083(626) 561-6767(623) 561-1703 Get Directions Write a Review

NPPES record last updated: March 10, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Canyon Vista Dentistry And Orthodontics NPPES

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

CANYON VISTA DENTISTRY AND ORTHODONTICS (NPI 1194048744) is a healthcare organization registered as a general practice in Phoenix, Arizona and active in the NPI registry since March 2010. The organization lists Todd R Cockrell, Owner Doctor, as its authorized official.

NPPES Registry Identity

NPI1194048744

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameCANYON VISTA DENTISTRY AND ORTHODONTICS,LLP

Location Address25155 N 67TH AVE STE 142Phoenix, AZ 85083-1065

Mailing Address2860 Michelle Fl 2Irvine, CA 92606-1008 · (714) 368-2077

Phone(626) 561-6767

Fax(623) 561-1703

Organization SubpartNo

Authorized OfficialTodd R CockrellOwner Doctor · (626) 561-6767

Enumeration DateMarch 10, 2010

✔ NPI 1194048744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

25155 N 67TH AVE STE 142, Phoenix, AZ 85083

Open in Google Maps ↗

Other Names 1

Doing Business AsCanyon Vista Dentistry And Orthodontics

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CRISTEN NICOLE PHILLIPS DMD

Dentist