NPI Portal NPI Lookup & Verification

Canyon Care LLC

Canyon Care LLC is a healthcare organization registered as Family Medicine Physician in Alta, UT, holding Type 2 (organization) NPI 1417509860 since 2019. The authorized official on file is Kenneth Libre, Medical Director.

✓ Active NPI ✓ Valid NPI checksum

NPI 1417509860
Entity type Organization (Type 2)
Legal business name Canyon Care LLC
Practice address 10160 E STATE HIGHWAY 210 STE 2, Alta, UT, 84092
Phone 8017429820
Enumeration date 2019-07-15
Last updated in NPPES 2019-07-15

Authorized official

Name Kenneth Libre
Title Medical Director
Phone 8017429820

Taxonomy & classification

Taxonomy code Specialty Primary License State
207Q00000X Family Medicine Physician Primary
Copy-ready billing details
Provider: Canyon Care LLC
NPI: 1417509860
Taxonomy: 207Q00000X (Family Medicine Physician)
Address: 10160 E STATE HIGHWAY 210 STE 2, Alta, UT, 84092

Verify this record

Cross-check NPI 1417509860 against the authoritative CMS record: view Canyon Care LLC on the official NPPES registry .

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 or validate an NPI number.

Frequently asked questions

Where is Canyon Care LLC located?
The practice location on file with NPPES is in Alta, UT.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-07-15. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-07-15.