CANYON PAIN AND SPINE
NPI 1770257180
Pain Medicine - Interventional Pain Medicine in Mesa, AZ

Active since August 09, 2021
4540 E BASELINE RD STE 117, MESA, AZ 85206(480) 561-5000(480) 591-0502 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 10, 2023, Aug 9, 2021 (2 updates tracked since 2021).

About Canyon Pain And Spine NPPES

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

CANYON PAIN AND SPINE (NPI 1770257180) is a healthcare organization registered as an interventional pain medicine in Mesa, Arizona and active in the NPI registry since August 2021. The organization lists Kirk George Bowden, Owner, as its authorized official.

NPPES Registry Identity

NPI1770257180
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameCANYON PAIN AND SPINE
Location Address4540 E BASELINE RD STE 117Mesa, AZ 85206-4617
Mailing Address4540 E Baseline Rd Ste 117Mesa, AZ 85206-4617 · (480) 561-5000 · Fax (480) 591-0502
Fax(480) 591-0502
Organization SubpartNo
Authorized OfficialKirk George BowdenOwner · (480) 889-0255
Enumeration DateAugust 9, 2021
Last NPPES UpdateJuly 10, 20232 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
✔ NPI 1770257180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
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.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
4540 E BASELINE RD STE 117, Mesa, AZ 85206

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

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.

Clinic/Center (Ambulatory Surgical)
4540 E BASELINE RD STE 117
MESA, AZ 85206
Anesthesiology
4540 E BASELINE RD STE 117
MESA, AZ 85206
Clinic/Center (Ambulatory Surgical)
4540 E BASELINE RD STE 117
MESA, AZ 85206
Clinic/Center (Ambulatory Surgical)
4540 E BASELINE RD STE 117
MESA, AZ 85206

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 Pain And Spine's NPI number?

The NPI number for Canyon Pain And Spine is 1770257180. It was assigned to this organization in the NPPES registry on August 9, 2021.

Where is Canyon Pain And Spine located?

Canyon Pain And Spine is located at 4540 E Baseline Rd Ste 117, Mesa, AZ 85206. The listed phone number is (480) 561-5000.

What is Canyon Pain And Spine's specialty?

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

When was this NPI record last updated?

The NPPES record for Canyon Pain And Spine was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.