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BANNER CANYON SPRINGS SURGERY CENTER LP
NPI 1720113913
Clinic/Center - Ambulatory Surgical in Gilbert, AZ

Active since February 21, 2007CLIA 03D2309160 · Waiver
2940 E BANNER GATEWAY DRIVE, SUITE 100, GILBERT, AZ 85234(480) 830-4972 Get Directions Write a Review

NPPES record last updated: March 10, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Banner Canyon Springs Surgery Center Lp NPPES

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

BANNER CANYON SPRINGS SURGERY CENTER LP (NPI 1720113913) is a healthcare organization registered as an ambulatory surgical in Gilbert, Arizona and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 8, 2026 and lists Dennis Dahlen, Sr Vice President Finance, as its authorized official.

NPPES Registry Identity

NPI1720113913
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBANNER CANYON SPRINGS SURGERY CENTER LP
Location Address2940 E BANNER GATEWAY DRIVE, SUITE 100Gilbert, AZ 85234
Mailing Address1441 N 12th StPhoenix, AZ 85006-2837
Phone(480) 830-4972
Organization SubpartYesParent: Banner Health
Authorized OfficialDennis DahlenSr Vice President Finance · (602) 747-4000
Enumeration DateFebruary 21, 2007
Last NPPES UpdateMarch 10, 2008
✔ NPI 1720113913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2940 E BANNER GATEWAY DRIVE, Gilbert, AZ 85234
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN118409AZ

CLIA Laboratory Certificates CMS CLIA

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 03D2309160

Banner Cancer Center Specialists LLC · Gilbert, AZ
Active · expires Aug 8, 2026
CLIA Number03D2309160
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2024
Certificate Expiration DateAugust 8, 2026
Laboratory DirectorBryce Dursteler
Laboratory Phone(480) 256-6444
Laboratory LocationBanner Cancer Center Specialists LLC2940 E Banner Gateway Dr Ste 100, Gilbert, AZ 85234
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

MR. TIMOTHY MARK BYKER PA-C
Physician Assistant (Medical)
2940 E BANNER GATEWAY DRIVE, SUITE 400
GILBERT, AZ 85234
Maricopa County (480) 256-6444
MR. MARK ANDREW HEALY MD
Surgery (Surgical Oncology)
2940 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Maricopa County (480) 256-6444
DR. ALA EDDIN SAMIR SAGAR M.D.
Internal Medicine (Pulmonary Disease)
2940 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Maricopa County (480) 256-6444
MATTHEW ENG PA
Physician Assistant (Surgical)
2940 E BANNER GATEWAY DRIVE, SUITE 450
GILBERT, AZ 85234
Maricopa County (480) 256-6444
RYAN UERKVITZ PA
Physician Assistant (Surgical)
2940 E BANNER GATEWAY DRIVE, SUITE 450
GILBERT, AZ 85234
Maricopa County (480) 256-6444
MR. MICHAEL SNYDER FNP
Nurse Practitioner (Family)
2940 E BANNER GATEWAY DRIVE, SUITE 450
GILBERT, AZ 85234
Maricopa County (480) 256-6444
DR. CHINEDU O MMEJE MD
Urology
2940 E BANNER GATEWAY DRIVE, SUITE 450
GILBERT, AZ 85234
Maricopa County (480) 256-6444

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 Banner Canyon Springs Surgery Center LP's NPI number?

The NPI number for Banner Canyon Springs Surgery Center LP is 1720113913. It was assigned to this organization in the NPPES registry on February 21, 2007.

Where is Banner Canyon Springs Surgery Center LP located?

Banner Canyon Springs Surgery Center LP is located at 2940 E Banner Gateway Drive Suite 100, Gilbert, AZ 85234. The listed phone number is (480) 830-4972.

What is Banner Canyon Springs Surgery Center LP's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Banner Canyon Springs Surgery Center LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2309160) is associated with this NPI, valid through August 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Banner Canyon Springs Surgery Center LP was last updated on March 10, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.