Charles Olin Canfield, M.D.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

182809-1205 Issued in UT

Practice address

10437 S Jordan Gtwy
South Jordan, UT 84095-3915

Phone

(801) 877-0705

Fax

(801) 335-5957

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, AK2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Baylor College of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salt Lake Behavioral Health LLCGroup PAC ID 6709915473, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Salt Lake Behavioral Health, LLC

  • Psychiatric Hospital
  • Salt Lake City, UT
  • NPI 1295066116

  Single Specialty

  Medicare reassignment Care Compare group NPD
• On Call Doc

  • Addiction Medicine (Family Medicine) Physician
  • South Jordan, UT
  • NPI 1598005340

  AK

  Medicare reassignment Authorized official
• Salt Lake Behavioral Health, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Salt Lake City, UT
  • NPI 1689037566
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1023199825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 709391",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840709391",
            "telephone_number": "801-877-0705",
            "fax_number": "801-335-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10437 S JORDAN GTWY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953915",
            "telephone_number": "801-877-0705",
            "fax_number": "801-335-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANFIELD",
        "first_name": "CHARLES",
        "middle_name": "OLIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2021-01-04",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "182809-1205",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "UT",
            "license": "182809-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald R Call Jr., D.P.M.
• Jon Aaron Call, LMFT
• Ashley Ann Cameron, PA-C
• Raylynn Childs Campbell
• Priscilla Kneipp Cancado, LCSW
• Canyon Crest Counseling LLC
• Brittany N. Capstick, O.D.
• Stephanie Cardenas
• Careatc, Inc.
• Averie Carlson

• Addiction Medicine (Family Medicine) Physician in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Addiction Medicine (Family Medicine) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.