Canyon Modern Dentistry & Orthodontics
NPI 1366848897 · Dental Clinic/Center · Surprise, AZ
Canyon Modern Dentistry & Orthodontics is a Dental Clinic/Center organization in Surprise, AZ (NPI 1366848897).
Provider details
- NPI number
- 1366848897
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mohammed Khakwani, General Dentist(316) 727-6886
- License
- D009075 (AZ)
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
11 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
- 2014-11-11
- Last updated
- 2014-11-11
Frequently asked questions
- What is Canyon Modern Dentistry & Orthodontics's NPI number?
- Canyon Modern Dentistry & Orthodontics's National Provider Identifier (NPI) is 1366848897, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canyon Modern Dentistry & Orthodontics?
- Canyon Modern Dentistry & Orthodontics is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Canyon Modern Dentistry & Orthodontics located?
- Canyon Modern Dentistry & Orthodontics's practice location on file with NPPES is 17081 W Greenway Rd, Surprise, AZ 85388-9612.
- What is Canyon Modern Dentistry & Orthodontics's phone number?
- The practice phone number listed in the NPPES registry for Canyon Modern Dentistry & Orthodontics is (623) 546-8400.
- Who is the authorized official for Canyon Modern Dentistry & Orthodontics?
- The authorized official listed on Canyon Modern Dentistry & Orthodontics's NPPES record is Mohammed Khakwani, General Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Canyon Modern Dentistry & Orthodontics's NPI active?
- Yes — Canyon Modern Dentistry & Orthodontics's NPI (1366848897) is active in the NPPES registry as of the last update on 2014-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.