CANYON PAIN AND SPINE
NPI 1770257180
Pain Medicine - Interventional Pain Medicine in Mesa, AZ
NPI Status: Active since August 09, 2021
Contact Information
4540 E BASELINE RD STE 117
MESA, AZ
ZIP 85206
Phone: (480) 561-5000
Fax: (480) 591-0502
- Organization
- Pain Medicine
- Interventional Pain Medicine
- CLIA Number: 03D2215113
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-28-2027
About CANYON PAIN AND SPINE
This page provides the complete NPI Profile along with additional information for Canyon Pain And Spine, a provider established in Mesa, Arizona operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1770257180 assigned on August 2021. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Canyon Pain And Spine operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Kirk George Bowden Do (Owner)
- NPI
- 1770257180
- Provider Name
- CANYON PAIN AND SPINE
- Entity Type
- Organization
- Location Address
- 4540 E BASELINE RD STE 117 MESA, AZ 85206
- Location Phone
- (480) 561-5000
- Location Fax
- (480) 591-0502
- Mailing Address
- 4540 E BASELINE RD STE 117 MESA, AZ 85206
- Mailing Phone
- (480) 561-5000
- Mailing Fax
- (480) 591-0502
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-09-2021
- Last Update Date
- 07-10-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pain Medicine Interventional Pain Medicine
- Taxonomy Code
- 208VP0014X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | |
| 2 | 207LP2900X | Allopathic & Osteopathic Physicians | Anesthesiology | |
| 3 | 208VP0000X | Allopathic & Osteopathic Physicians | Pain Medicine | |
| 4 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2215113
- Facility Type
- Physician Office
- Certificate Effective Date
- March 01, 2025
- Certificate Expiration Date
- February 28, 2027
- Laboratory Director
- KIRK BOWDEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Canyon Pain And Spine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for CANYON PAIN AND SPINE
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 7 | 0 | 2 | 5 | 7 | 1 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 4 | 5 | 14 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 4 + 5 + 1 + 4 + 1 + 1 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1770257180 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1427202472 | TURNING POINTE SURGERY CENTRE Organization | Clinic/Center (Ambulatory Surgical) | 4540 E BASELINE RD STE 117 MESA, AZ 85206 (480) 844-1410 |
| 1003388760 | ELITE SURGICAL CENTER, LLC Organization | Clinic/Center (Ambulatory Surgical) | 4540 E BASELINE RD STE 117 MESA, AZ 85206 (480) 622-4158 |
| 1972217180 | CANYON PAIN SURGERY CENTER Organization | Clinic/Center (Ambulatory Surgical) | 4540 E BASELINE RD STE 117 MESA, AZ 85206 (480) 561-0446 |
| 1245054816 | CANYON PAIN SURGERY CENTER Organization | Anesthesiology | 4540 E BASELINE RD STE 117 MESA, AZ 85206 (480) 561-0446 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770257180, enumerated in the NPI registry as an "organization" on August 09, 2021
The provider is located at 4540 E Baseline Rd Ste 117 Mesa, Az 85206 and the phone number is (480) 561-5000
This medical organization specializes in Pain Medicine with taxonomy code 208VP0014X with a focus in Interventional Pain Medicine
The provider's CLIA number is 03D2215113 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 09, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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