Active NPI
Rosalind Lorena Canham, D.C.
- Rehabilitation Practitioner
- Phoenix, AZ
National Provider Identifier
1720157415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 2315
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 769888 | Medicaid | AZ | |
| 0932780 | Other | AZ | BLUECROSS 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6019 | AZ | MD | General 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.