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CANYON RIDGE PAIN AND SPINE PC
NPI 1376821587
Pain Medicine - Interventional Pain Medicine in Bountiful, UT

Active since July 22, 2011
1551 RENAISSANCE TOWNE DR, SUITE 460, BOUNTIFUL, UT 84010(801) 205-4116(435) 986-9368 Get Directions Write a Review

NPPES record last updated: July 22, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Canyon Ridge Pain And Spine Pc NPPES

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

CANYON RIDGE PAIN AND SPINE PC (NPI 1376821587) is a healthcare organization registered as an interventional pain medicine in Bountiful, Utah and active in the NPI registry since July 2011. The organization lists Raul Kem Weston, President, as its authorized official.

NPPES Registry Identity

NPI1376821587
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameCANYON RIDGE PAIN AND SPINE PC
Location Address1551 RENAISSANCE TOWNE DR, SUITE 460Bountiful, UT 84010-7667
Mailing Address1551 Renaissance Towne Dr, Suite 460Bountiful, UT 84010-7667 · (801) 205-4116 · Fax (435) 986-9368
Phone(801) 205-4116
Fax(435) 986-9368
Organization SubpartNo
Authorized OfficialRaul Kem WestonPresident · (801) 205-4116
Enumeration DateJuly 22, 2011
✔ NPI 1376821587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in UT · 6955001-1205
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.
1551 RENAISSANCE TOWNE DR, Bountiful, UT 84010
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Canyon Ridge Pain And Spine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Canyon Ridge Pain And Spine PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Raul Weston, M.D.
Anesthesiology
NPI 1902066988
1551 RENAISSANCE TOWNE DR STE 460
Bountiful, UT 84010
(801) 294-7246
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ridge Pain And Spine PC's NPI number?

The NPI number for Canyon Ridge Pain And Spine PC is 1376821587. It was assigned to this organization in the NPPES registry on July 22, 2011.

Where is Canyon Ridge Pain And Spine PC located?

Canyon Ridge Pain And Spine PC is located at 1551 Renaissance Towne Dr Suite 460, Bountiful, UT 84010. The listed phone number is (801) 205-4116.

What is Canyon Ridge Pain And Spine PC's specialty?

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

Is Canyon Ridge Pain And Spine PC enrolled in Medicare?

Yes. Canyon Ridge Pain And Spine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Canyon Ridge Pain And Spine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Canyon Ridge Pain And Spine PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Canyon Ridge Pain And Spine PC accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Canyon Ridge Pain And Spine PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Canyon Ridge Pain And Spine PC was last updated on July 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.