Robert Kellen McWhorter, DMD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

13682344-9926 Issued in UT

Practice address

440 W 200 S Ste 275
Salt Lake City, UT 84101-1464

Phone

(801) 358-8175

NPI assigned

Feb 14, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MDG- Saltlake City Dental

  • Prosthodontics
  • Salt Lake City, UT
  • NPI 1205661543
  NPD Authorized official
• MDG - Salt Lake City LLC

  • Prosthodontics
  • Salt Lake City, UT
  • NPI 1326969676
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1003671520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W 200 S STE 275",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841011464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W 200 S STE 275",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841011464",
            "telephone_number": "801-358-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWHORTER",
        "first_name": "ROBERT",
        "middle_name": "KELLEN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "GA",
            "license": "DN122976",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "UT",
            "license": "13682344-9926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine V McVey, OTR/L
• John Richard McVey, PA-C
• Stephanie Browning McVicar
• Dinah McWethy
• Amanda McWhirter
• MD Center for Facial Rejuvenation
• MDG - Salt Lake City LLC
• MDG- Saltlake City Dental
• Coryann Ledford Mead, PT, DPT
• Kristyn M Meade

• Prosthodontics in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Prosthodontics in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.