DR. JOHN RYAN BLANKENSHIP (NPI# 1760828834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760828834 |
Entity Type | Individual |
Full Name | DR. JOHN RYAN BLANKENSHIP |
Credential | DMD |
Practice Address |
2230 N University Pkwy Provo UT 84604-1509 |
Practice Telephone | 8018368366 |
Mailing Telephone | 8018368366 |
Enumeration Date | 2013-05-16 |
Last Update Date | 2013-05-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
8660056-9923 | UT | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093147829 | John Blankenship | Student in an Organized Health Care Education/Training Program | 109 Lyttleton Ln, Madison Heights, VA 24572-2315 | 2013-08-03 |
1013994342 | John David Blankenship | Family Medicine | 401 Lowell Dr Se Ste 14, Huntsville, AL 35801-3738 | 2005-12-28 |
1730160177 | John C Blankenship | Specialist | 195 King Ave., Athens, GA 30606 | 2005-11-11 |
1225267370 | John Stuart Blankenship | Orthopaedic Surgery | 313 West St, Paintsville, KY 41240-1054 | 2009-07-10 |
1346222593 | John Lee Blankenship | Family Medicine | 629 Nuckolls Rd, Bolivar, TN 38008-1599 | 2005-11-15 |
Street Address |
2230 N UNIVERSITY PKWY |
City | PROVO |
State | UT |
Zip Code | 84604-1509 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821093048 | Donald Ray Gifford | Dentist | 2230 N University Pkwy, 8-b, Provo, UT 84604-1509 | 2005-06-15 |
1801333604 | Danae Harding | Marriage & Family Therapist | 2230 N University Pkwy, Suite 11d, Provo, UT 84604-1509 | 2017-01-31 |
1952855595 | Alyson Watkins | Counselor | 2230 N University Pkwy, Suite 11d, Provo, UT 84604-1509 | 2016-08-11 |
1922451962 | Monson Eye Associates, LLC | Ophthalmology | 2230 N University Pkwy, Ste 10a, Provo, UT 84604-1509 | 2016-07-14 |
1750791422 | Barton Charles Robbins | Social Worker | 2230 N University Pkwy, #7e, Provo, UT 84604-1509 | 2014-05-05 |
1831522945 | Mcdonald Clinical Services | Community/Behavioral Health | 2230 N University Pkwy, Building 7e, Suite 4, Provo, UT 84604-1509 | 2013-08-12 |
1295003051 | Aaron D Paxman | Physician Assistant | 2230 N University Pkwy, 9b, Provo, UT 84604-1509 | 2011-12-08 |
1275818155 | Jason Gray | Physician Assistant | 2230 N University Pkwy, Ste 9b, Provo, UT 84604-1509 | 2011-10-11 |
1538452826 | Glasgow Chiropractic and Rehabilitation P.l.l.c | Clinic/Center | 2230 N University Pkwy, #6b, Provo, UT 84604-1509 | 2011-05-19 |
1962795252 | Jonathan Snow Pllc | Chiropractor | 2230 N University Pkwy, Ste. 6b, Provo, UT 84604-1509 | 2011-05-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
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Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811446727 | Bryce John Bott | Dentist | 745 N 500 W Ste 103, Provo, UT 84601-1475 | 2016-10-03 |
1912072620 | Trace Michael Lund | Dentist | 745 North 500 West, Suite 103, Provo, UT 84601 | 2006-11-21 |
1821093048 | Donald Ray Gifford | Dentist | 2230 N University Pkwy, 8-b, Provo, UT 84604-1509 | 2005-06-15 |
1598830291 | Kevin Richard Markham | Dentist | 745 North 500 West, Suite 103, Provo, UT 84601 | 2006-11-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841891462 | South Davis Pediatric Dentistry LLC | Dentist | 59 W Pages Ln Ste 110, Bountiful, UT 84010-5988 | 2020-11-02 |
1376176198 | Happy Tooth Pediatric Dentistry, LLC | Dentist | 2453 E 3300 S, Millcreek, UT 84109-2725 | 2020-02-20 |
1750932273 | Michael R. Brown Dds Ms | Dentist | 1240 E 100 S Ste 120, St George, UT 84790-3079 | 2019-09-25 |
1609438357 | Children's Landing Pediatric Dentistry, PC | Dentist | 3855 W 7800 S Ste 200, West Jordan, UT 84088-5563 | 2019-07-02 |
1841766821 | Dry Creek Pediatric Dentistry | Dentist | 3300 N Running Creek Way F101, Lehi, UT 84043 | 2018-10-17 |
1639654684 | Clubhouse Pediatric Dentistry of West Jordan | Dentist | 1108 E South Union Ave, Midvale, UT 84047-2904 | 2018-09-26 |
1639667801 | St. George Kids Dental At Snow Canyon | Dentist | 1100 Canyon View Dr Ste A, Santa Clara, UT 84765-5672 | 2018-04-24 |
1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
1013420553 | Kevin Brown Dmd, LLC | Dentist | 1030 S 1100 W, Suite B, Lehi, UT 84043 | 2017-11-07 |
1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.