Canyon River Dental
NPI 1306277546ActiveOrganization· Dentist, General Practice· Provo, UT
Dentist, General Practice in Provo, Utah, registered in NPPES in December 2013, part of El Al Chinn Eem. The authorized official on file is Mark C. Lomenick, Cfo.
Overview
| NPI | 1306277546 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | El Al Chinn Eem |
| NPI issued | Dec 12, 2013 |
| Last updated in NPPES | Dec 12, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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