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JORDAN LANDING PEDIATRICS
NPI 1528374337
Dentist - Periodontics in West Jordan, UT

Active since August 31, 2010
7613 JORDAN LANDING BLVD, STE 210, WEST JORDAN, UT 84084(801) 280-9595(801) 280-1169 Get Directions Write a Review

NPPES record last updated: August 31, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jordan Landing Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN LANDING PEDIATRICS (NPI 1528374337) is a healthcare organization registered as a periodontics in West Jordan, Utah and active in the NPI registry since August 2010. The organization lists R Ryan Johansen, Doctor, as its authorized official.

NPPES Registry Identity

NPI1528374337
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameJORDAN LANDING PEDIATRICS
Location Address7613 JORDAN LANDING BLVD, STE 210West Jordan, UT 84084-1972
Mailing Address7613 Jordan Landing Blvd, Ste 210West Jordan, UT 84084-1972 · (801) 280-9595 · Fax (801) 280-1169
Phone(801) 280-9595
Fax(801) 280-1169
Organization SubpartNo
Authorized OfficialR Ryan JohansenDoctor · (801) 280-9595
Enumeration DateAugust 31, 2010
✔ NPI 1528374337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
7613 JORDAN LANDING BLVD, West Jordan, UT 84084
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Other Identifiers 2

Medicaid528451522009UT
Medicaid002204002NV

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRIGHAM G COLTON DMD
Dentist (General Practice)
7613 JORDAN LANDING BLVD, SUITE 110
WEST JORDAN, UT 84084
Salt Lake County (801) 282-2323
DR. R RYAN JOHANSEN D.D.S.
Dentist (Pediatric Dentistry)
7613 JORDAN LANDING BLVD, SUITE 210
WEST JORDAN, UT 84084
Salt Lake County (801) 280-9595

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Landing Pediatrics's NPI number?

The NPI number for Jordan Landing Pediatrics is 1528374337. It was assigned to this organization in the NPPES registry on August 31, 2010.

Where is Jordan Landing Pediatrics located?

Jordan Landing Pediatrics is located at 7613 Jordan Landing Blvd Ste 210, West Jordan, UT 84084. The listed phone number is (801) 280-9595.

What is Jordan Landing Pediatrics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Jordan Landing Pediatrics was last updated on August 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.