Landon Ryan Bowerbank, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

13221936-0501 Issued in UT

Practice address

3300 N Running Creek Way BLDG C Suite 300
BLDG C Suite 300
Lehi, UT 84043

Phone

(801) 901-4333

Fax

(801) 901-4268

NPI assigned

Apr 21, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Cross Hospital-Jordan Valley Hospital, West Jordan, UT, CCN 460051

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lbowerbank@pioneerfootankle.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pioneer Foot and Ankle, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Lehi, UT
  • NPI 1144085093
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • West Jordan, UT
  • NPI 1801591391
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1083234975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 N RUNNING CREEK WAY BLDG C SUITE 300",
            "address_2": "BLDG C SUITE 300",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840433654",
            "telephone_number": "801-901-4333",
            "fax_number": "801-901-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 N RUNNING CREEK WAY BLDG C SUITE 300",
            "address_2": "BLDG C SUITE 300",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "84043",
            "telephone_number": "801-901-4333",
            "fax_number": "801-901-4268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3715 W 4100 S Ste 150",
            "address_purpose": "LOCATION",
            "city": "West Valley",
            "state": "UT",
            "postal_code": "841205552",
            "country_code": "US",
            "telephone_number": "801-253-6886",
            "fax_number": "801-253-6888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3130 S Highland Dr Ste 84",
            "address_purpose": "LOCATION",
            "city": "Millcreek",
            "state": "UT",
            "postal_code": "841063095",
            "country_code": "US",
            "telephone_number": "801-253-6886",
            "fax_number": "801-253-6888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWERBANK",
        "first_name": "LANDON",
        "middle_name": "RYAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-21",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "13221936-0501",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "13221936-0501",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "UT",
            "license": "13221936-0501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle K Boswell, CSW
• Tayler Boswell, DPT
• Ashley Bouwhuis-Parry
• Cortney Bouwhuis
• Jennifer Ann Bowden, PHD, RDN
• John Bowers
• Bridger Bowman
• Kim Lee Boyd, PSYD
• Boyer Medical Solutions
• Braces Braces Braces of Stonehaven- Lehi LLC

• Foot & Ankle Surgery Podiatrist in Lehi, UT
• Providers in Lehi, UT by specialty
• Foot & Ankle Surgery Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.