Ryan E Thomas, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49367049922 Issued in UT

Practice address

275 N 300 W
Suite 404
Kaysville, UT 84037-1878

Phone

(801) 544-9444

Fax

(801) 544-9443

NPI assigned

Jul 22, 2010

Last updated

Jul 22, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adam Schwebach Inc

  dba NeuroPsychology Center of Utah

  • Clinical Neuropsychologist
  • Clinton, UT
  • NPI 1124313085
  NPD (past)
• Baer Canyon Dental LLC

  • Dentist
  • Kaysville, UT
  • NPI 1174626345
  NPD (past)

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1396058053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 N 300 W",
            "address_2": "SUITE 404",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371878",
            "telephone_number": "801-544-9444",
            "fax_number": "801-544-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 N 300 W",
            "address_2": "SUITE 404",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371878",
            "telephone_number": "801-544-9444",
            "fax_number": "801-544-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "RYAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "49367049922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174626345",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark A Taylor, O.D.
• The Diamond Tree LLC (Diamond Tree Recovery)
• Thomas E Ericksen, DDS, LLC (Kaysville Dental Clinic)
• Derek Thomas
• Karen Thomas
• Tracy Hugh Tippets, RPA
• Todd N. Grant DC PC
• Meadow Toomalatai
• Topmedmd LLC
• True North Chiropractic & Wellness Center, LLC

• General Practice Dentistry in Kaysville, UT
• Providers in Kaysville, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.