Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Canyon Modern Dentistry, LLP

General Practice Dentistry in Surprise, AZ · enumerated 2011 · authorized official James Mallory, Owner Doctor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194021170

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Registry record

Entity type Organization (Type 2)

Legal business name Canyon Modern Dentistry, LLP

Other name <Unavail>

Practice address 17081 W Greenway Rd Ste 121, Surprise, AZ, 85388

Phone (623) 546-8400

Fax (623) 214-5830

Enumeration date Feb 8, 2011

Last updated in NPPES Feb 8, 2011

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name James Mallory

Title Owner Doctor

Phone (623) 546-8400

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Canyon Modern Dentistry, LLP located?

The practice location on file with NPPES is in Surprise, AZ.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-02-08. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-02-08.