Individual provider Active NPI

Jordan Ames Whatcott, DMD

  • General Practice Dentistry
  • Salt Lake City, UT
National Provider Identifier
1437772498
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11739705-9922 Issued in UT
Practice address
5888 S 900 E Ste 101
Salt Lake City, UT 84121-1644
Phone
(801) 281-8433
Fax
(801) 281-8455
NPI assigned
May 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11739705-9922 UT Primary

Addresses

Primary practice location

5888 S 900 E Ste 101
Salt Lake City, UT 84121-1644

Mailing address

5888 S 900 E Ste 101
Salt Lake City, UT 84121-1644
Phone (801) 281-8433

Other identifiers 1

IdentifierTypeStateIssuer
1700315462OtherTYPE 2 NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL nelsonandtillmanndental@gmail.com

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11739705-9922UTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1437772498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5888 S 900 E STE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211644",
            "telephone_number": "801-281-8433",
            "fax_number": "801-281-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5888 S 900 E STE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211644",
            "telephone_number": "801-281-8433",
            "fax_number": "801-281-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHATCOTT",
        "first_name": "JORDAN",
        "middle_name": "AMES",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "11739705-9922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI",
            "identifier": "1700315462",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "nelsonandtillmanndental@gmail.com",
            "affiliation": "N",
            "address_1": "5888 S 900 E Ste 101",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841211644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 26, 2020; 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.