Individual provider Active NPI

Hiram Benjamin Wigant, MS, RD

  • Registered Dietitian
  • Idaho Falls, ID
National Provider Identifier
1356198717
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
13833758-4901 Issued in UT
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
13833758-4901UTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Medical Center, PLLC CurrentSince May 30, 2024 Accepting new patients
Precision Medical Care LLC Dietitian, Registered CurrentSince May 30, 2024 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.

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.

Verify at the official NPI Registry.