NPIMap

Organization Active NPI

Charles Canfield, MD, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Orem, UT
National Provider Identifier
1396927786
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
CHARLES CANFIELD, MD, LLC
Practice address
897 S 300 W
Orem, UT 84058-6792
Phone
(801) 602-4256
NPI assigned
Nov 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Authorized official

Name
Charles Olin Canfield, MD
Title
Provider
Phone
(801) 602-4256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0401X Primary

Addresses

Primary practice location

897 S 300 W
Orem, UT 84058-6792

Mailing address

897 S 300 W
Orem, UT 84058-6792
Phone (801) 602-4256

National Provider Directory

National Provider Directory

Locations

727 N 1550 E
Ste 410
Orem, UT 84097
Phone (385) 220-3124

46 N 100 E
Spanish Fork, UT 84660
Phone (801) 798-6220

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1396927786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 S 300 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840586792",
            "telephone_number": "801-602-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 S 300 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840586792",
            "telephone_number": "801-602-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES CANFIELD, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "CANFIELD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "OLIN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "801-602-4256",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.