OrganizationActive
Canyon Trails Family Dental, LLC
NPI 1104282425 · General Practice Dentistry · Goodyear, AZ
Canyon Trails Family Dental, LLC is a General Practice Dentistry organization in Goodyear, AZ (NPI 1104282425).
Provider details
- NPI number
- 1104282425
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- John Ballard, Cfo, Cio(480) 889-9457
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
500 N Estrella Pkwy
Suite B-1
Goodyear, AZ 85338-4135
Phone: (623) 882-0782
Fax: (623) 882-0878
Street-level locationGet directions
Mailing address
4435 E Holmes Ave
Mesa, AZ 85206-3372
Registry dates
- Enumerated
- 2016-01-04
- Last updated
- 2016-01-04
Frequently asked questions
- What is Canyon Trails Family Dental, LLC's NPI number?
- Canyon Trails Family Dental, LLC's National Provider Identifier (NPI) is 1104282425, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canyon Trails Family Dental, LLC?
- Canyon Trails Family Dental, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Canyon Trails Family Dental, LLC located?
- Canyon Trails Family Dental, LLC's practice location on file with NPPES is 500 N Estrella Pkwy, Goodyear, AZ 85338-4135.
- What is Canyon Trails Family Dental, LLC's phone number?
- The practice phone number listed in the NPPES registry for Canyon Trails Family Dental, LLC is (623) 882-0782.
- Who is the authorized official for Canyon Trails Family Dental, LLC?
- The authorized official listed on Canyon Trails Family Dental, LLC's NPPES record is John Ballard, Cfo, Cio. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Canyon Trails Family Dental, LLC's NPI active?
- Yes — Canyon Trails Family Dental, LLC's NPI (1104282425) is active in the NPPES registry as of the last update on 2016-01-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.