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

Q: 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.

Q: 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.

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: July 26, 2026.

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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 ›

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Other Providers at the Same Location NPPES 20

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

JILL FREITAS CALDERWOOD AU.D.

Audiologist

1551 RENAISSANCE TOWNE DR
BOUNTIFUL, UT 84010

Davis County (801) 295-5581

COMPREHENSIVE IMAGING SERVICES LLC

Radiology (Diagnostic Radiology)

1551 RENAISSANCE TOWNE DR
BOUNTIFUL, UT 84010

Davis County (801) 298-7272

BRANDI MARIE HARRIS

Physician Assistant

1551 RENAISSANCE TOWNE DR
BOUNTIFUL, UT 84010

Davis County (801) 295-7200

JORDAN SCOTT CARVER PHARMD

Pharmacist

1551 RENAISSANCE TOWNE DR, #104
BOUNTIFUL, UT 84010

Davis County (801) 295-6979

DR. MARK L NELSON D.D.S

Dentist (Pediatric Dentistry)

1551 RENAISSANCE TOWNE DR, SUITE 540
BOUNTIFUL, UT 84010

Davis County (801) 295-8322

CHILDREN'S DENTISTRY

Dentist (Pediatric Dentistry)

1551 RENAISSANCE TOWNE DR, STE 540
BOUNTIFUL, UT 84010

Davis County (801) 295-8322

CURT ROBERT STOCK M.D.

Otolaryngology

1551 RENAISSANCE TOWNE DR, SUITE 310
BOUNTIFUL, UT 84010

Davis County (801) 295-5581

JARED J TYSON MD PC

Specialist

1551 RENAISSANCE TOWNE DR, SUITE 400
BOUNTIFUL, UT 84010

Davis County (801) 295-7200

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.

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 with the weekly NPPES data releases published by CMS.