Organization Active NPI

Gold Canyon Dentistry

  • General Practice Dentistry
  • Gold Canyon, AZ
National Provider Identifier
1235930611
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GOLD CANYON DENTISTRY
Doing business as
Gold Canyon Dentistry
Practice address
6589 S Kings Ranch Rd Ste 101
Gold Canyon, AZ 85118-2934
Phone
(480) 288-1800
Fax
(480) 288-1888
NPI assigned
Mar 21, 2025
Last updated
Mar 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Dr. Robert Christiaan Allen Jr., DDSNPI 1891426235
Title
Dentist
Phone
(480) 288-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6589 S Kings Ranch Rd Ste 101
Gold Canyon, AZ 85118-2934

Mailing address

6589 S Kings Ranch Rd Ste 101
Gold Canyon, AZ 85118-2934
Phone (480) 288-1800

Other names 1

  • Gold Canyon Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

6589 S Kings Ranch Rd
Ste 101
Gold Canyon, AZ 85118
Phone (480) 288-1800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1235930611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6589 S KINGS RANCH RD STE 101",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851182934",
            "telephone_number": "480-288-1800",
            "fax_number": "480-288-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6589 S KINGS RANCH RD STE 101",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851182934",
            "telephone_number": "480-288-1800",
            "fax_number": "480-288-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD CANYON DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CHRISTIAAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "480-288-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gold Canyon Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gold Canyon, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.