Dakota Wren Chetrit, PA-C, RD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

8668423-1206 Issued in UT

Practice address

565 S Komas Dr
Salt Lake City, UT 84108-1208

Phone

(801) 584-5144

NPI assigned

Jan 22, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dakota Allstadt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: dallstadt65477@direct.med.utah.edu
• Direct secure messaging: dakota.chetrit.1@13794.direct.athenahealth.com

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1043541584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3913 BOYLE CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 S KOMAS DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081208",
            "telephone_number": "801-584-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHETRIT",
        "first_name": "DAKOTA",
        "middle_name": "WREN",
        "credential": "PA-C, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1036816",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "8668423-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAKOTA",
            "last_name": "ALLSTADT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Noah Jordan Cherry
• Brian J Chesley
• Steven Chesley, RN
• Tanya Chesley, PA-C
• Brianna S. Chessin, MD
• Alfred K. Cheung, MD
• Dominic W Cheung, PHARMD
• Elaine Cheung, LICSW
• Andrew Thomas Chevalier, MD
• Dominique Chevalier, MD

• Family Medicine Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.