Canyon Pain and Spine
NPI 1104590512 · Interventional Pain Medicine Physician · Glendale, AZ
Enrolled with Medicare as Dme Supplier - Physician - Anesthesiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Canyon Pain and Spine is a Interventional Pain Medicine Physician organization in Glendale, AZ (NPI 1104590512).
Provider details
- NPI number
- 1104590512
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kirk Bowden, Owner(480) 889-0255
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
- Pain Medicine Physician208VP0000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Registry dates
- Enumerated
- 2021-08-09
- Last updated
- 2021-08-09
- Certified
- 2021-08-09
Frequently asked questions
- What is Canyon Pain and Spine's NPI number?
- Canyon Pain and Spine's National Provider Identifier (NPI) is 1104590512, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canyon Pain and Spine?
- Canyon Pain and Spine is classified in the NPPES registry as Interventional Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Canyon Pain and Spine located?
- Canyon Pain and Spine's practice location on file with NPPES is 6320 W Union Hills Dr Ste A270, Glendale, AZ 85308-7175.
- What is Canyon Pain and Spine's phone number?
- The practice phone number listed in the NPPES registry for Canyon Pain and Spine is (480) 561-5000.
- Does Canyon Pain and Spine accept Medicare?
- Canyon Pain and Spine is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Canyon Pain and Spine?
- The authorized official listed on Canyon Pain and Spine's NPPES record is Kirk Bowden, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Canyon Pain and Spine's NPI active?
- Yes — Canyon Pain and Spine's NPI (1104590512) is active in the NPPES registry as of the last update on 2021-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.