Curtis Ray Canning, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

159037-1205 Issued in UT

Practice address

1750 Research Park Way
Suite 104
North Logan, UT 84341-1955

Phone

(435) 753-0272

Fax

(435) 753-2252

NPI assigned

Jun 16, 2006

Last updated

Oct 11, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Curtis R. Canning, MD, PC

  • Adult Mental Health Clinic/Center
  • North Logan, UT
  • NPI 1932386315
  Authorized official Same address or phone
• Robert S. Cook, PH.D., PC

  • Clinical Psychologist
  • North Logan, UT
  • NPI 1619909116
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1487698676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6340",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843416340",
            "telephone_number": "435-753-0272",
            "fax_number": "435-753-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 RESEARCH PARK WAY",
            "address_2": "SUITE 104",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843411955",
            "telephone_number": "435-753-0272",
            "fax_number": "435-753-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNING",
        "first_name": "CURTIS",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "159037-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMIA",
            "identifier": "870378139CA1",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECTHEALTH",
            "identifier": "107006790102",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "1248",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMBA",
            "identifier": "36092",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jenny Christensen
• Jason M Christiansen, DPT
• Dorothy Clayton Cobia
• Skye Cole

• Psychiatry Physician in North Logan, UT
• Providers in North Logan, UT by specialty
• Psychiatry Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.