Individual provider Active NPI

Ryan James McAffee, D.D.S

  • General Practice Dentistry
  • Riverton, UT
National Provider Identifier
1174880249
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8809976-9922 Issued in UT
Practice address
3409 W 12600 S
Riverton, UT 84065-7260
Phone
(801) 561-1559
NPI assigned
Apr 13, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8809976-9922 UT Primary

Addresses

Primary practice location

3409 W 12600 S
Riverton, UT 84065-7260

Mailing address

3409 W 12600 S
Riverton, UT 84065-7260
Phone (801) 561-1559

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
8809976-9922UTMDGeneral Practice Dentistry

Networks

  • UT PPO D-SNP

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1174880249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 W 12600 S",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657260",
            "telephone_number": "801-561-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 W 12600 S",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657260",
            "telephone_number": "801-561-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCAFFEE",
        "first_name": "RYAN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "8809976-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.