CANYON MODERN DENTISTRY & ORTHODONTICS
NPI 1366848897
Clinic/Center - Dental in Surprise, AZ

Q: What is Canyon Modern Dentistry & Orthodontics's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since November 11, 2014

17081 W GREENWAY RD, SUITE 120, SURPRISE, AZ 85388(623) 546-8400(623) 214-5830 Get Directions Write a Review

NPPES record last updated: November 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Canyon Modern Dentistry & Orthodontics NPPES

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

CANYON MODERN DENTISTRY & ORTHODONTICS (NPI 1366848897) is a healthcare organization registered as a dental in Surprise, Arizona and active in the NPI registry since November 2014. The organization lists Mohammed Reza Khakwani, General Dentist, as its authorized official.

NPPES Registry Identity

NPI1366848897

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameCANYON MODERN DENTISTRY & ORTHODONTICS

Location Address17081 W GREENWAY RD, SUITE 120Surprise, AZ 85388-9612

Mailing Address17081 W Greenway Rd, Suite 120Surprise, AZ 85388-9612 · (623) 546-8400 · Fax (623) 214-5830

Phone(623) 546-8400

Fax(623) 214-5830

Organization SubpartNo

Authorized OfficialMohammed Reza KhakwaniGeneral Dentist · (316) 727-6886

Enumeration DateNovember 11, 2014

✔ NPI 1366848897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

License✔ Licensed in AZ · D009075

17081 W GREENWAY RD, Surprise, AZ 85388

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Other Providers at the Same Location NPPES 4

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

DR. AMISH B PATEL DDS

Dentist (General Practice)

17081 W GREENWAY RD, SUITE 121
SURPRISE, AZ 85388

Maricopa County (623) 546-8400

DR. AHMED AL EZZI DMD

Dentist

17081 W GREENWAY RD
SURPRISE, AZ 85388

Maricopa County (623) 546-8400

DR. MOHAMMED REZA KHAKWANI D.M.D.

Dentist

17081 W GREENWAY RD, SUITE 120
SURPRISE, AZ 85388

Maricopa County (623) 546-8400

DR. HUNTER SCOTT ROWE D.M.D.

Dentist (General Practice)

17081 W GREENWAY RD
SURPRISE, AZ 85388

Maricopa County (623) 546-8400

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 Modern Dentistry & Orthodontics's NPI number?

The NPI number for Canyon Modern Dentistry & Orthodontics is 1366848897. It was assigned to this organization in the NPPES registry on November 11, 2014.

Where is Canyon Modern Dentistry & Orthodontics located?

Canyon Modern Dentistry & Orthodontics is located at 17081 W Greenway Rd Suite 120, Surprise, AZ 85388. The listed phone number is (623) 546-8400.

What is Canyon Modern Dentistry & Orthodontics's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Canyon Modern Dentistry & Orthodontics was last updated on November 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.