Canyon Rim Dental - Heber LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CANYON RIM DENTAL - HEBER LLC

Practice address

3387 Sawmill Pointe Rd Ste B
Heber, AZ 85928-6002

Phone

(928) 228-5446

Fax

(928) 228-5456

NPI assigned

Nov 20, 2024

Last updated

Nov 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Becky Rodriguez

Title

Office Manager

Phone

(928) 228-5446

Specialties & licenses 1

Addresses

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.

• Sean Cook

  • Dentist
  • Mesa, AZ
  • NPI 1336599521
  NPD

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1730904004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3387 SAWMILL POINTE RD STE B",
            "city": "HEBER",
            "state": "AZ",
            "postal_code": "859286002",
            "telephone_number": "928-228-5446",
            "fax_number": "928-228-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3387 SAWMILL POINTE RD STE B",
            "city": "HEBER",
            "state": "AZ",
            "postal_code": "859286002",
            "telephone_number": "928-228-5446",
            "fax_number": "928-228-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON RIM DENTAL - HEBER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-228-5446"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Compassion Medical Supply
• Steven Dana, MSW
• Robert Ferguson, M.A.T.S.
• Pamela Ann Harris, RN
• Heber-Overgaard Usd #6

• Dental Clinic/Center in Heber, AZ
• Providers in Heber, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.