Individual provider Active NPI

Ryan Vernon Cook, DVM

  • Veterinarian
  • Layton, UT
National Provider Identifier
1124462064
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
53802082801 Issued in UT
Practice address
230 N Fairfield Rd
Layton, UT 84041-3930
Phone
(801) 544-8800
Fax
(801) 544-7781
NPI assigned
Apr 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 53802082801 UT Primary

Addresses

Primary practice location

230 N Fairfield Rd
Layton, UT 84041-3930

Mailing address

230 N Fairfield Rd
Layton, UT 84041-3930
Phone (801) 544-8800

Other identifiers 1

IdentifierTypeStateIssuer
53802082801OtherUTVETERINARIAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
53802082801UTMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1124462064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N FAIRFIELD RD",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840413930",
            "telephone_number": "801-544-8800",
            "fax_number": "801-544-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N FAIRFIELD RD",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840413930",
            "telephone_number": "801-544-8800",
            "fax_number": "801-544-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "RYAN",
        "middle_name": "VERNON",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "UT",
            "license": "53802082801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VETERINARIAN",
            "identifier": "53802082801",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.