Active NPI
Ryan Williams, DC
- Chiropractor
- South Jordan, UT
National Provider Identifier
1376151407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8344134-1202
- Practice address
- 891 W Baxter Dr
South Jordan, UT 84095-8506 - Phone
- (801) 915-7476
- NPI assigned
- Jul 15, 2020
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8344134-1202 | UT | Primary |
Addresses
Primary practice location
891 W Baxter Dr
South Jordan, UT 84095-8506
Mailing address
4446 W Sunny Meadow Dr
South Jordan, UT 84009-9798
Phone (801) 915-7476
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8344134-1202 | UT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1376151407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4446 W SUNNY MEADOW DR",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840099798",
"telephone_number": "801-915-7476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "891 W BAXTER DR",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840958506",
"telephone_number": "801-915-7476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-15",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "8344134-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.