Canyon Crest Surgical, LLC
NPI 1205071198 · Ambulatory Surgical Clinic/Center · Draper, UT
Canyon Crest Surgical, LLC is a Ambulatory Surgical Clinic/Center organization in Draper, UT (NPI 1205071198).
Provider details
- NPI number
- 1205071198
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Vickie Glauser, Office Staff(801) 316-1313
- License
- 2008-ASF-86531 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
- 2008-12-08
- Last updated
- 2008-12-08
Frequently asked questions
- What is Canyon Crest Surgical, LLC's NPI number?
- Canyon Crest Surgical, LLC's National Provider Identifier (NPI) is 1205071198, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canyon Crest Surgical, LLC?
- Canyon Crest Surgical, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Canyon Crest Surgical, LLC located?
- Canyon Crest Surgical, LLC's practice location on file with NPPES is 11762 S State #240, Draper, UT 84020.
- What is Canyon Crest Surgical, LLC's phone number?
- The practice phone number listed in the NPPES registry for Canyon Crest Surgical, LLC is (801) 542-7194.
- Who is the authorized official for Canyon Crest Surgical, LLC?
- The authorized official listed on Canyon Crest Surgical, LLC's NPPES record is Vickie Glauser, Office Staff. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Canyon Crest Surgical, LLC's NPI active?
- Yes — Canyon Crest Surgical, LLC's NPI (1205071198) is active in the NPPES registry as of the last update on 2008-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.