NPIMap

Organization Active NPI

Canyonview Family Practice

  • Family Medicine Physician
  • Provo, UT
National Provider Identifier
1992711659
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39472 Issued in UT
Legal business name
CANYONVIEW FAMILY PRACTICE
Practice address
3200 N Canyon Rd Ste C
Provo, UT 84604-4571
Phone
(801) 373-7373
Fax
(801) 373-1808
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Authorized official

Name
Dr. Ronald L Baird, DO
Title
Owner
Phone
(801) 373-7373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 39472 UT Primary

Addresses

Primary practice location

3200 N Canyon Rd Ste C
Provo, UT 84604-4571

Mailing address

3200 N Canyon Rd Ste C
Provo, UT 84604-4571
Phone (801) 373-7373

National Provider Directory

National Provider Directory

Locations

3200 N Canyon Rd
Ste C
Provo, UT 84604
Phone (801) 373-7373

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1992711659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 N CANYON RD STE C",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044571",
            "telephone_number": "801-373-7373",
            "fax_number": "801-373-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N CANYON RD STE C",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044571",
            "telephone_number": "801-373-7373",
            "fax_number": "801-373-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYONVIEW FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "BAIRD",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-373-7373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "39472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.