OrganizationActive
Canyon River Dental
NPI 1821196197 · Dentist · Provo, UT
Canyon River Dental is a Dentist organization in Provo, UT (NPI 1821196197).
Provider details
- NPI number
- 1821196197
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Ryan Mangrum, Dentist(801) 221-5859
- License
- 3124349922 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
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
3707 N Canyon Rd
Suite 7d
Provo, UT 84604
Phone: (801) 221-5859
Fax: (801) 221-7091
Street-level locationGet directions
Mailing address
3707 N Canyon Rd
Provo, UT 84604
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Canyon River Dental's NPI number?
- Canyon River Dental's National Provider Identifier (NPI) is 1821196197, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canyon River Dental?
- Canyon River Dental is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Canyon River Dental located?
- Canyon River Dental's practice location on file with NPPES is 3707 N Canyon Rd, Provo, UT 84604.
- What is Canyon River Dental's phone number?
- The practice phone number listed in the NPPES registry for Canyon River Dental is (801) 221-5859.
- Who is the authorized official for Canyon River Dental?
- The authorized official listed on Canyon River Dental's NPPES record is Ryan Mangrum, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Canyon River Dental's NPI active?
- Yes — Canyon River Dental's NPI (1821196197) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.