Organization Active NPI

Canyon Medical

  • Durable Medical Equipment & Medical Supplies
  • Scottsdale, AZ
National Provider Identifier
1942512546
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CANYON MEDICAL
Practice address
8140 E Cactus Rd
240
Scottsdale, AZ 85260-5268
Phone
(480) 678-9049
Fax
(480) 314-1518
NPI assigned
Jul 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Authorized official

Name
Mr. Roy Ronnen Myers
Title
President
Phone
(480) 678-9049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

8140 E Cactus Rd
240
Scottsdale, AZ 85260-5268

Mailing address

11890 N 103Rd PL
Scottsdale, AZ 85260-5935
Phone (480) 678-9049

National Provider Directory

National Provider Directory

Locations

8140 E Cactus Rd
#240
Scottsdale, AZ 85260
Phone (480) 678-9049

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1942512546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11890 N 103RD PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605935",
            "telephone_number": "480-678-9049",
            "fax_number": "480-314-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 E CACTUS RD",
            "address_2": "240",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605268",
            "telephone_number": "480-678-9049",
            "fax_number": "480-314-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "RONNEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-678-9049",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.