Active NPI
Ryan Glen Frandsen, RDH
- Dental Hygienist
- South Jordan, UT
National Provider Identifier
1629831813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 13779254-9920
- Practice address
- 10458 S Redwood Rd
South Jordan, UT 84095-8501 - Phone
- (801) 312-8085
- NPI assigned
- Feb 1, 2024
- Last updated
- Feb 1, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 13779254-9920 | UT | Primary |
Addresses
Primary practice location
10458 S Redwood Rd
South Jordan, UT 84095-8501
Mailing address
3032 W Cramden Dr
Lehi, UT 84043-7326
Phone (435) 979-3408
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13779254-9920 | UT | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1629831813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3032 W CRAMDEN DR",
"city": "LEHI",
"state": "UT",
"postal_code": "840437326",
"telephone_number": "435-979-3408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10458 S REDWOOD RD",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840958501",
"telephone_number": "801-312-8085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANDSEN",
"first_name": "RYAN",
"middle_name": "GLEN",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-01",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "UT",
"license": "13779254-9920",
"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 Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.