Ryan Davis, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

13153333-9926 Issued in UT

Practice address

2651 W South Jordan Pkwy Ste 201
South Jordan, UT 84095-8966

Phone

(801) 254-2700

NPI assigned

Nov 24, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Davis Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • South Jordan, UT
  • NPI 1225887052
  NPD Authorized official
• Joc SJT

  • Dental Clinic/Center
  • South Jordan, UT
  • NPI 1730796152
  NPD

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1669076188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E SIMPSON AVE APT A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841061819",
            "telephone_number": "801-831-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 W SOUTH JORDAN PKWY STE 201",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958966",
            "telephone_number": "801-254-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RYAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-24",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00204518",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "13153333-9926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davis Vision Center
• Davis Vision Center Associates PLLC
• Brian R Davis, MD
• Lauren Davis, TRAINED SBD DOULA
• Natalie Davis
• Daybreak PDC PLLC
• Mari Dean-Smith, DNP
• Jessica Deckart, APRN
• Dedicated Doula Services
• Jizelle Del Rio Avelar

• Orthodontics and Dentofacial Orthopedics Dentistry in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.