Canyon Foot and Ankle LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

93570600501 Issued in UT

Legal business name

CANYON FOOT AND ANKLE LLC

Practice address

607 Kirby LN Ste D
Spanish Fork, UT 84660-1368

Phone

(801) 609-4743

Fax

(801) 804-5545

NPI assigned

Aug 22, 2015

Last updated

Jan 2, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

CANYON FOOT AND ANKLE LLCAs reported in NPPES

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

Authorized official

Name

Levi Berry, DPMNPI 1689938748

Title

Owner

Phone

(801) 609-4743

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Enrollment records 2

Part of

Canyon Foot and Ankle LLC

Locations

Practitioners 1

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.

• Levi J Berry, DPM

  • Foot & Ankle Surgery Podiatrist
  • Spanish Fork, UT
  • NPI 1689938748
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1440201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1659748952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 E 1200 N",
            "city": "MAPLETON",
            "state": "UT",
            "postal_code": "846643710",
            "telephone_number": "801-609-4743",
            "fax_number": "801-804-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 KIRBY LN STE D",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601368",
            "telephone_number": "801-609-4743",
            "fax_number": "801-804-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON FOOT AND ANKLE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CANYON FOOT AND ANKLE LLC",
        "enumeration_date": "2015-08-22",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "LEVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-609-4743",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "93570600501",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": "93570600501",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1659748952",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conley Ben Call, MD
• Grace Callister
• Matthew Cameron, D.O.
• Aimi Campbell
• Canyon Dental Clinic P.C.
• Canyon View Medical Group
• Canyon View Medical Group LLC
• Canyon View Medical Group LLC
• Canyon View Medical Group LLC (Canyon View Womens Care Spanish Fork)
• Cardon Endodontics PC (Maple Ridge Endodontics)

• Foot & Ankle Surgery Podiatrist in Spanish Fork, UT
• Providers in Spanish Fork, UT by specialty
• Foot & Ankle Surgery Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.