Jordan Landing Pediatric Dentistry DDS
NPI 1265215347ActiveOrganization· Dentist, Pediatric Dentistry· West Jordan, UT
Dentist, Pediatric Dentistry in West Jordan, Utah, registered in NPPES in August 2023. The authorized official on file is Ryan Richard Johansen, DDS, Dentist.
Overview
| NPI | 1265215347 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 14, 2023 |
| Last updated in NPPES | Aug 14, 2023 |
| Certified by provider | Aug 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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