Active NPI
Riley Hunsaker
- Orthodontics and Dentofacial Orthopedics Dentistry
- South Jordan, UT
National Provider Identifier
1972100295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 11677059-9921
- Practice address
- 10654 S River Heights Dr
South Jordan, UT 84095-5522 - Phone
- (801) 472-7919
- NPI assigned
- Oct 9, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 11677059-9921 | UT | Primary |
Addresses
Primary practice location
10654 S River Heights Dr
South Jordan, UT 84095-5522
Mailing address
5017 W London Bay Dr
Riverton, UT 84096-1900
Phone (801) 472-7919
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 |
|---|---|---|---|
| 11677059-9921 | UT | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602201600000",
"number": "1972100295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5017 W LONDON BAY DR",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840961900",
"telephone_number": "801-472-7919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10654 S RIVER HEIGHTS DR",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840955522",
"telephone_number": "801-472-7919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNSAKER",
"first_name": "RILEY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-09",
"last_updated": "2020-10-09",
"certification_date": "2020-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "UT",
"license": "11677059-9921",
"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 Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.