Active NPI
Ryan Matthew Workman, DDS
- Dentist
- Woods Cross, UT
National Provider Identifier
1801991674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 49426609922
- Practice address
- 2301 Mountain View Blvd
Woods Cross, UT 84087-2442 - Phone
- (801) 674-9584
- NPI assigned
- Sep 14, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 49426609922 | UT | Primary |
Addresses
Primary practice location
2301 Mountain View Blvd
Woods Cross, UT 84087-2442
Mailing address
11025 S Caroline Grove LN
Sandy, UT 84070-1218
Phone (801) 674-9584
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160210001946 | UT | Order and Referring Only - Other (Non-Physician) | 0840594941 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49426609922 | UT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587945600000",
"number": "1801991674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11025 S CAROLINE GROVE LN",
"city": "SANDY",
"state": "UT",
"postal_code": "840701218",
"telephone_number": "801-674-9584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 MOUNTAIN VIEW BLVD",
"city": "WOODS CROSS",
"state": "UT",
"postal_code": "840872442",
"telephone_number": "801-674-9584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORKMAN",
"first_name": "RYAN",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "49426609922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woods Cross, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.