Crystal Canyon Ent & Facial Plastic Surgery PC
NPI 1285780767 · Otolaryngology/Facial Plastic Surgery Physician · Flagstaff, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Crystal Canyon Ent & Facial Plastic Surgery PC is a Otolaryngology/Facial Plastic Surgery Physician organization in Flagstaff, AZ (NPI 1285780767).
Provider details
- NPI number
- 1285780767
- Entity type
- Organization
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Pamela Taylor, Office Manager(928) 774-1873
- License
- MD3000 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2007-01-26
- Last updated
- 2013-04-04
Frequently asked questions
- What is Crystal Canyon Ent & Facial Plastic Surgery PC's NPI number?
- Crystal Canyon Ent & Facial Plastic Surgery PC's National Provider Identifier (NPI) is 1285780767, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crystal Canyon Ent & Facial Plastic Surgery PC?
- Crystal Canyon Ent & Facial Plastic Surgery PC is classified in the NPPES registry as Otolaryngology/Facial Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Crystal Canyon Ent & Facial Plastic Surgery PC located?
- Crystal Canyon Ent & Facial Plastic Surgery PC's practice location on file with NPPES is 1340 N Rim Dr, Flagstaff, AZ 86001-3111.
- What is Crystal Canyon Ent & Facial Plastic Surgery PC's phone number?
- The practice phone number listed in the NPPES registry for Crystal Canyon Ent & Facial Plastic Surgery PC is (928) 774-1873.
- Does Crystal Canyon Ent & Facial Plastic Surgery PC accept Medicare?
- Crystal Canyon Ent & Facial Plastic Surgery PC 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 Crystal Canyon Ent & Facial Plastic Surgery PC?
- The authorized official listed on Crystal Canyon Ent & Facial Plastic Surgery PC's NPPES record is Pamela Taylor, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crystal Canyon Ent & Facial Plastic Surgery PC's NPI active?
- Yes — Crystal Canyon Ent & Facial Plastic Surgery PC's NPI (1285780767) is active in the NPPES registry as of the last update on 2013-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.