Active NPI
John Reagan, DPM
- Podiatrist
- North Salt Lake, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 8716994-0501
- Practice address
- 731 Skipton
North Salt Lake, UT 84054-6071 - Phone
- (801) 842-6058
- NPI assigned
- Jun 22, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 8716994-0501 | UT | Primary |
Addresses
Primary practice location
731 Skipton
North Salt Lake, UT 84054-6071
Mailing address
731 Skipton
North Salt Lake, UT 84054-6071
Phone (801) 842-6058
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3723 W 12600
Suite 150
Riverton, UT 84065-7296
Phone (801) 285-4560
Hospital & facility affiliations
- Intermountain Health Riverton Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 20 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 395 |
| Removal or shaving of skin growth | 187 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8716994-0501 | UT | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
3723 W 12600 S
Ste 460
Riverton, UT 84065
Phone (801) 285-4650
3723 W 12600 S
Riverton, UT 84065
Phone (801) 285-2482
3723 W 12600 S
Ste 330
Riverton, UT 84065
Phone (801) 285-4543
3723 W 12600 S
Ste 150
Riverton, UT 84065
Phone (801) 285-4560
5848 S Fashion Blvd
Ste 120
Salt Lake City, UT 84107
Phone (801) 314-4100
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Pediatrics Physician
- Riverton, UT
- NPI 1659401537
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Riverton, UT
- NPI 1154551919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453161600000",
"number": "1275896359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 SKIPTON",
"city": "NORTH SALT LAKE",
"state": "UT",
"postal_code": "840546071",
"telephone_number": "801-842-6058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 SKIPTON",
"city": "NORTH SALT LAKE",
"state": "UT",
"postal_code": "840546071",
"telephone_number": "801-842-6058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REAGAN",
"first_name": "JOHN",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-22",
"last_updated": "2016-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "UT",
"license": "8716994-0501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Salt Lake, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.