Canyon Ridge Pain And Spine PC — NPI 1376821587
Canyon Ridge Pain And Spine PC’s National Provider Identifier is 1376821587. NPPES classifies this as a Type 2 organization record and reports a practice location in Bountiful, Utah. The primary taxonomy is Interventional Pain Medicine Physician.
Key facts
- NPI
- 1376821587
- Entity type
- Type 2 organization
- NPPES status
- Active in the August 10, 2026 snapshot
- Practice location
- 1551 RENAISSANCE TOWNE DR, SUITE 460
Bountiful, Utah 84010 - Practice telephone
- (801) 205-4116
- Primary taxonomy
- Interventional Pain Medicine Physician
- Enumeration date
- July 22, 2011
- NPPES last update
- July 22, 2011
- Source
- CMS NPPES, NPPES Data Dissemination August 2026 V2
Questions answered by the NPPES record
What is the NPI for Canyon Ridge Pain And Spine PC?
The NPI listed for Canyon Ridge Pain And Spine PC in the NPPES snapshot is 1376821587. The number passes the NPI check-digit test and is recorded as active in that snapshot.
Is NPI 1376821587 an individual or organization record?
NPPES records NPI 1376821587 as an Entity Type 2 record, which CMS assigns to an organization health care provider.
Where is the reported practice location?
The primary practice location reported to NPPES is 1551 RENAISSANCE TOWNE DR, SUITE 460, Bountiful, Utah 84010.
What taxonomy codes are listed for this NPI?
One taxonomy code is listed: Interventional Pain Medicine Physician (208VP0014X), the primary taxonomy. Names come from the NUCC Health Care Provider Taxonomy code set version 26.1; definitions are not reproduced.
When was the NPPES record last updated?
NPPES reports a last update date of July 22, 2011 and an enumeration date of July 22, 2011, as published in NPPES Data Dissemination August 2026 V2.
Source and data date
All facts on this page come from the Centers for Medicare & Medicaid Services (CMS) NPPES data dissemination file NPPES Data Dissemination August 2026 V2, released August 10, 2026 (snapshot date 2026-08-10). The record was reproduced from the main provider file without edits; only the fields listed on the methodology page are published.
CMS updates NPPES continuously and this page reflects a single monthly snapshot. Confirm current details in the official NPPES NPI Registry.
Directory pages
This profile is listed on the Bountiful, Utah NPI directory and the Utah NPI directory.
Other published profiles in Bountiful, UT
Up to ten other profiles this site publishes for Bountiful, listed alphabetically. Appearing together here indicates only a shared reported practice city, not any affiliation or relationship. The city page lists all 43 published profiles.
Independent service disclaimer
This directory is an independent, experimental publication of public NPPES fields. It is not affiliated with or endorsed by CMS, NPPES, Medicare, the American Medical Association, or the National Uniform Claim Committee. An NPI is an administrative identifier. Its presence here does not establish that a provider is licensed, credentialed, board certified, in good standing, accepting patients or insurance, employed by or affiliated with any organization, or currently practicing. Nothing on this page is medical, legal, or insurance advice.