Active NPI
Hiram Benjamin Wigant, MS, RD
- Registered Dietitian
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 13833758-4901
- Practice address
- 3820 Crestwood LN
Idaho Falls, ID 83404-4979 - Phone
- (385) 432-6600
- Fax
- (801) 405-7710
- NPI assigned
- May 3, 2024
- Last updated
- May 3, 2024
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 13833758-4901 | UT | Primary |
Addresses
Primary practice location
3820 Crestwood LN
Idaho Falls, ID 83404-4979
Mailing address
2485 S 1296 W
Nibley, UT 84321-5865
Phone (208) 709-9480
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13833758-4901 | UT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family First Medical Center, PLLC | Current | Accepting new patients | |
| Precision Medical Care LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
3155 Channing Way
Idaho Falls, ID 83404
Phone (801) 699-6344
3155 Channing Way
Ste A
Idaho Falls, ID 83404
Phone (208) 227-0551
3820 Crestwood Ln
Idaho Falls, ID 83404
Phone (208) 552-7700
2965 E Tarpon Dr
Ste 110
Meridian, ID 83642
Phone (208) 552-7700
1633 W Innovation Way
Fl 5
Lehi, UT 84043
Phone (801) 699-6344
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1033314273
-
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1780266288
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1356198717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2485 S 1296 W",
"city": "NIBLEY",
"state": "UT",
"postal_code": "843215865",
"telephone_number": "208-709-9480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3820 CRESTWOOD LN",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834044979",
"telephone_number": "385-432-6600",
"fax_number": "801-405-7710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGANT",
"first_name": "HIRAM",
"middle_name": "BENJAMIN",
"name_prefix": "Mr.",
"credential": "MS, RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-03",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "UT",
"license": "13833758-4901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.