OrganizationActive
Canyon Modern Dentistry, LLP
NPI 1194021170 · General Practice Dentistry · Surprise, AZ
Canyon Modern Dentistry, LLP is a General Practice Dentistry organization in Surprise, AZ (NPI 1194021170).
Provider details
- NPI number
- 1194021170
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- James Mallory, Owner Doctor(623) 546-8400
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
17081 W Greenway Rd Ste 121
Surprise, AZ 85388-9612
Phone: (623) 546-8400
Fax: (623) 214-5830
Street-level locationGet directions
Mailing address
2860 Michelle Drive 2nd Floor
Irvine, CA 92606
Other names (DBA / former)
- Doing business as
- Canyon Modern Dentistry
Registry dates
- Enumerated
- 2011-02-08
- Last updated
- 2011-02-08
Frequently asked questions
- What is Canyon Modern Dentistry, LLP's NPI number?
- Canyon Modern Dentistry, LLP's National Provider Identifier (NPI) is 1194021170, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canyon Modern Dentistry, LLP?
- Canyon Modern Dentistry, LLP is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Canyon Modern Dentistry, LLP located?
- Canyon Modern Dentistry, LLP's practice location on file with NPPES is 17081 W Greenway Rd Ste 121, Surprise, AZ 85388-9612.
- What is Canyon Modern Dentistry, LLP's phone number?
- The practice phone number listed in the NPPES registry for Canyon Modern Dentistry, LLP is (623) 546-8400.
- Who is the authorized official for Canyon Modern Dentistry, LLP?
- The authorized official listed on Canyon Modern Dentistry, LLP's NPPES record is James Mallory, Owner Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Canyon Modern Dentistry, LLP's NPI active?
- Yes — Canyon Modern Dentistry, LLP's NPI (1194021170) is active in the NPPES registry as of the last update on 2011-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.