Individual provider Active NPI

Rosalind Lorena Canham, D.C.

  • Rehabilitation Practitioner
  • Phoenix, AZ
National Provider Identifier
1720157415
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
2315 Issued in AZ
Practice address
2041 N 7TH St
Phoenix, AZ 85006-2102
Phone
(602) 255-0600
Fax
(602) 255-0601
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 6019 AZ
Rehabilitation Practitioner 225400000X 2315 AZ Primary

Addresses

Primary practice location

2041 N 7TH St
Phoenix, AZ 85006-2102

Mailing address

2041 N 7TH St
Phoenix, AZ 85006-2102
Phone (602) 255-0600

Other identifiers 2

IdentifierTypeStateIssuer
769888MedicaidAZ
0932780OtherAZBLUECROSS BLUE SHEILD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6019AZMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1720157415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062102",
            "telephone_number": "602-255-0600",
            "fax_number": "602-255-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062102",
            "telephone_number": "602-255-0600",
            "fax_number": "602-255-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANHAM",
        "first_name": "ROSALIND",
        "middle_name": "LORENA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "6019",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "AZ",
            "license": "2315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "769888",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHEILD",
            "identifier": "0932780",
            "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 Sep 11, 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.