Canyon Vista Dentistry and Orthodontics,LLP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CANYON VISTA DENTISTRY AND ORTHODONTICS,LLP

Practice address

25155 N 67TH Ave Ste 142
Phoenix, AZ 85083-1065

Phone

(626) 561-6767

Fax

(623) 561-1703

NPI assigned

Mar 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Todd R Cockrell, DMD

Title

Owner Doctor

Phone

(626) 561-6767

Specialties & licenses 1

Addresses

Other names 1

• Canyon Vista Dentistry and Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1194048744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE FL 2",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061008",
            "telephone_number": "714-368-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25155 N 67TH AVE STE 142",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850831065",
            "telephone_number": "626-561-6767",
            "fax_number": "623-561-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON VISTA DENTISTRY AND ORTHODONTICS,LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "COCKRELL",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "626-561-6767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Vista Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Canyon Physicians II
• Canyon Repose LLC
• Canyon Sleep Neurology and Wellness Group, LLC
• Canyon Social Services
• Canyon Surgical Specialists Center LLC
• Qing J Cao, MD
• Gejia A Capasso, LPC
• Caleb Capellen
• Justin Capello, M.A, LBA
• Christian John Salang Capirig, MD

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.