Jordan Landing Pediatric Dentistry DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

JORDAN LANDING PEDIATRIC DENTISTRY DDS

Practice address

7613 S Jordan Landing Blvd Ste 210
West Jordan, UT 84084-1973

Phone

(801) 280-9595

NPI assigned

Aug 14, 2023

Organization subpart

No

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

Authorized official

Name

Ryan Richard Johansen, DDS

Title

Dentist

Phone

(801) 280-9595

Specialties & licenses 1

Addresses

Other names 1

• Jordan Landing Pediatric Dentistry DDS Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• R Ryan Johansen, D.D.S.

  • Pediatric Dentistry
  • West Jordan, UT
  • NPI 1992848956
  NPD

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1265215347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7613 S JORDAN LANDING BLVD STE 210",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840841973",
            "telephone_number": "385-209-5038",
            "fax_number": "801-280-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7613 S JORDAN LANDING BLVD STE 210",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840841973",
            "telephone_number": "801-280-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN LANDING PEDIATRIC DENTISTRY DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "JOHANSEN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "801-280-9595",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jordan Landing Pediatric Dentistry DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jordan Family Health, LLC
• Jordan Health Associates, Inc.
• Jordan Landing Dental Care, PC
• Jordan Landing Dental Management
• Jordan Landing Family Medicine LLC
• Jordan Landing Pediatrics
• Jordan River Women'S Health, P.C.
• Jordan Valley & Mountain Point Medical Center, LLC
• Jordan Valley & Mountain Point Medical Center, LLC
• Jordan Valley Dental

• Pediatric Dentistry in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.