NPIMap

Organization Active NPI

MDG - Salt Lake City LLC

  • Prosthodontics
  • Salt Lake City, UT
National Provider Identifier
1326969676
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
MDG - SALT LAKE CITY LLC
Practice address
440 W 200 S Ste 275
Salt Lake City, UT 84101-1464
Phone
(801) 321-7600
NPI assigned
Jul 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Robert Kellen McWhorter, DMDNPI 1003671520
Title
Owner
Phone
(801) 358-8175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

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

Mailing address

440 W 200 S Ste 275
Salt Lake City, UT 84101-1464
Phone (801) 321-7600

National Provider Directory

National Provider Directory

Locations

440 W 200 S
Ste 275
Salt Lake City, UT 84101
Phone (801) 321-7600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1784764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1326969676",
    "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",
            "telephone_number": "801-321-7600"
        },
        {
            "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": "801-321-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDG - SALT LAKE CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-23",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "MCWHORTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-358-8175",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.

Verify at the official NPI Registry.