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CANYON SURGICAL SPECIALISTS LLC
NPI 1932801776
Oral & Maxillofacial Surgery in Las Vegas, NV

Active since March 17, 2023
6200 N DURANGO DR STE 100, LAS VEGAS, NV 89149(702) 660-5574 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Canyon Surgical Specialists Llc NPPES

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

CANYON SURGICAL SPECIALISTS LLC (NPI 1932801776) is a healthcare organization registered as an oral & maxillofacial surgery in Las Vegas, Nevada and active in the NPI registry since March 2023. The organization lists Jesse Falk, Member, as its authorized official.

NPPES Registry Identity

NPI1932801776
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameCANYON SURGICAL SPECIALISTS LLC
Location Address6200 N DURANGO DR STE 100Las Vegas, NV 89149-3939
Mailing Address6200 N Durango Dr Ste 100Las Vegas, NV 89149-3939 · (702) 660-5574
Phone(702) 660-5574
Organization SubpartNo
Authorized OfficialJesse FalkMember · (702) 660-5574
Enumeration DateMarch 17, 2023
NPPES CertifiedMarch 17, 2023
✔ NPI 1932801776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedOtolaryngologyTaxonomy 207Y00000X
6200 N DURANGO DR STE 100, Las Vegas, NV 89149
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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

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 Surgical Specialists Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Canyon Surgical Specialists LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jesse Falk, D.M.D
Oral Surgery
NPI 1285924605
6200 N DURANGO DR SUITE 100
Las Vegas, NV 89138
(702) 606-4954
✔ PECOSSame address
Harry Ching, M.D.
Otolaryngology
NPI 1720405004
5320 S RAINBOW BLVD STE 250
Las Vegas, NV 89118
(702) 671-6480
✔ PECOS✔ Accepts Medicare13 mi

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 Surgical Specialists LLC's NPI number?

The NPI number for Canyon Surgical Specialists LLC is 1932801776. It was assigned to this organization in the NPPES registry on March 17, 2023.

Where is Canyon Surgical Specialists LLC located?

Canyon Surgical Specialists LLC is located at 6200 N Durango Dr Ste 100, Las Vegas, NV 89149. The listed phone number is (702) 660-5574.

What is Canyon Surgical Specialists LLC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Canyon Surgical Specialists LLC enrolled in Medicare?

Yes. Canyon Surgical Specialists LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Canyon Surgical Specialists LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Canyon Surgical Specialists LLC, in Oral Surgery and Otolaryngology. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Canyon Surgical Specialists LLC was last updated on March 17, 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.