Active NPI
Gordon Randal Whetton, DC
- Chiropractor
- Ogden, UT
National Provider Identifier
1033176987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 176413-1202
- Practice address
- 859 Washington Blvd
Suite 1
Ogden, UT 84404-4962 - Phone
- (801) 393-8880
- Fax
- (801) 393-8881
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 176413-1202 | UT | Primary |
Addresses
Primary practice location
859 Washington Blvd
Suite 1
Ogden, UT 84404-4962
Mailing address
859 Washington Blvd
Suite 1
Ogden, UT 84404-4962
Phone (801) 393-8880
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 247 | Other | UT | UNITED HEALTH CARE |
| 93176413104001 | Other | UT | REGENCE BLUE CROSS |
| 113 | Other | UT | GE WELLNESS |
| D5226 | Medicaid | UT |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 176413-1202 | UT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1033176987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "859 WASHINGTON BLVD",
"address_2": "SUITE 1",
"city": "OGDEN",
"state": "UT",
"postal_code": "844044962",
"telephone_number": "801-393-8880",
"fax_number": "801-393-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "859 WASHINGTON BLVD",
"address_2": "SUITE 1",
"city": "OGDEN",
"state": "UT",
"postal_code": "844044962",
"telephone_number": "801-393-8880",
"fax_number": "801-393-8881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHETTON",
"first_name": "GORDON",
"middle_name": "RANDAL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "176413-1202",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "247",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE CROSS",
"identifier": "93176413104001",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GE WELLNESS",
"identifier": "113",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D5226",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.