NPIMap

Organization Active NPI

Ryan K Anderson D P M P C

Doing business as Foot & Ankle Specialists of Utah

  • Foot & Ankle Surgery Podiatrist
  • Bountiful, UT
National Provider Identifier
1639200215
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
RYAN K ANDERSON D P M P C
Doing business as
Foot & Ankle Specialists of Utah
Practice address
596 W 750 S Ste 200
Bountiful, UT 84010-7281
Phone
(206) 703-2204
Fax
(801) 397-1938
NPI assigned
Mar 8, 2007
Last updated
Dec 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Authorized official

Name
Ryan K Anderson, DPMNPI 1053334730
Title
Sole Owner
Phone
(206) 703-2204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0105X
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary
Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 247100000X
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

596 W 750 S Ste 200
Bountiful, UT 84010-7281

Mailing address

434 W Ascension Way Ste 425
Murray, UT 84123-3102
Phone (206) 703-2204

Other practice location 1

3777 Pecos McLeod Ste 103
Las Vegas, NV 89121-4265
Phone (206) 703-2204

Other practice location 2

1060 Chambers St
Eugene, OR 97402-3745
Phone (206) 703-2204

Other practice location 3

8008 Menaul Blvd NE
Albuquerque, NM 87110-4608
Phone (206) 703-2204

Other practice location 4

1618 N Lee Trevino Dr Ste D
El Paso, TX 79936-5104
Phone (206) 703-2204

Other names 1

  • Foot & Ankle Specialists of Utah Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NM, OR, NV, TX6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20050903000007 UT Part B Supplier - Clinic/Group Practice 7517999121 Receives reassigned benefits from 39 practitioners
Practice locations: West Valley, UT; West Jordan, UT; Tooele, UT; Logan, UT; South Ogden, UT; Sandy, UT; Salt Lake City, UT; Murray, UT…
O20100930048796 UT DME Supplier - Physician - Podiatry 7517999121 Practice locations: Bountiful, UT
O20160629000276 NM Part B Supplier - Clinic/Group Practice 7517999121 Receives reassigned benefits from 26 practitioners
Practice locations: Rio Rancho, NM; Santa Fe, NM; Gallup, NM; Taos, NM; Los Alamos, NM; Los Lunas, NM; Albuquerque, NM; Las Vegas, NM…
O20230605001910 OR Part B Supplier - Clinic/Group Practice 7517999121 Receives reassigned benefits from 2 practitioners
Practice locations: Eugene, OR
O20240328000987 NV Part B Supplier - Clinic/Group Practice 7517999121 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV
O20240724000926 TX Part B Supplier - Clinic/Group Practice 7517999121 Receives reassigned benefits from 5 practitioners
Practice locations: El Paso, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

2140 N Capitol Ave
Ste 100
Indianapolis, IN 46202
Phone (317) 644-1404

650 J St
Ste 405
Lincoln, NE 68508
Phone (801) 815-6500

1300 Wyoming Blvd NE
Albuquerque, NM 87112
Phone (505) 298-7666

3908 Carlisle Blvd NE
Albuquerque, NM 87107
Phone (505) 221-0776

4705 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 727-4500

700 Lomas Blvd NE
Bldg 1
Albuquerque, NM 87102
Phone (505) 843-6464

8008 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 296-5454

105 Mills Ave
Ste 100
Las Vegas, NM 87701
Phone (505) 425-3313

1608 7th St
Las Vegas, NM 87701

1608 7th St
Ste B
Las Vegas, NM 87701
Phone (505) 355-2766

1650 Hospital Dr
Santa Fe, NM 87505
Phone (505) 660-0743

1650 Hospital Dr
Ste 800
Santa Fe, NM 87505
Phone (505) 395-3000

200 NE 4th Ave
Hillsboro, OR 97124
Phone (503) 538-0466

1225 E Cliff Dr
Ste 2
El Paso, TX 79902

1618 N Lee Trevino Dr
Ste D
El Paso, TX 79936
Phone (206) 703-2204

425 Medical Dr
#209
Bountiful, UT 84010
Phone (801) 292-4425

520 Medical Dr
Ste 110
Bountiful, UT 84010
Phone (801) 299-2503

596 W 750 S
Ste 105
Bountiful, UT 84010
Phone (801) 292-4425

596 W 750 S
Ste 200
Bountiful, UT 84010
Phone (801) 292-4425

903 S Main St
Ste B
Brigham City, UT 84302

3590 W 9000 S
Ste 215
West Jordan, UT 84088
Phone (801) 566-7297

3465 S Pioneer Pkwy
Ste 3
West Valley City, UT 84120
Phone (801) 966-3556

Practitioners & affiliated clinicians

Practitioners 99

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 99

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767139200000",
    "number": "1639200215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 W ASCENSION WAY STE 425",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841233102",
            "telephone_number": "206-703-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 W 750 S STE 200",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107281",
            "telephone_number": "206-703-2204",
            "fax_number": "801-397-1938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3777 PECOS MCLEOD STE 103",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891214265",
            "country_code": "US",
            "telephone_number": "206-703-2204",
            "fax_number": "702-434-1976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1060 Chambers St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974023745",
            "country_code": "US",
            "telephone_number": "206-703-2204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8008 Menaul Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871104608",
            "country_code": "US",
            "telephone_number": "206-703-2204",
            "fax_number": "505-296-1392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1618 N Lee Trevino Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799365104",
            "country_code": "US",
            "telephone_number": "206-703-2204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RYAN K ANDERSON D P M P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "206-703-2204",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "247100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot & Ankle Specialists of Utah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.