Organization Active NPI

Canyon Midwifery LLC

  • Midwife
  • Phoenix, AZ
National Provider Identifier
1407492069
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
CANYON MIDWIFERY LLC
Practice address
6610 W Cordia LN
Phoenix, AZ 85083-7404
Phone
(623) 888-9033
Fax
(623) 572-9405
NPI assigned
Nov 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Authorized official

Name
Rosemary Arias
Title
Office Manager
Phone
(623) 824-3660

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X Primary
Birthing Clinic/Center 261QB0400X

Addresses

Primary practice location

6610 W Cordia LN
Phoenix, AZ 85083-7404

Mailing address

6610 W Cordia LN
Phoenix, AZ 85083-7404
Phone (623) 888-9033

Other identifiers 1

IdentifierTypeStateIssuer
1578670121MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Canyon Midwifery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1407492069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 W CORDIA LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850837404",
            "telephone_number": "623-888-9033",
            "fax_number": "623-572-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 W CORDIA LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850837404",
            "telephone_number": "623-888-9033",
            "fax_number": "623-572-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON MIDWIFERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "ARIAS",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-824-3660"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578670121",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.