Individual provider Active NPI

Niki Xiran Way

  • General Practice Dentistry
  • Salt Lake City, UT
National Provider Identifier
1457044414
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14292332-9926 Issued in UT
Practice address
1963 S 1200 E Ste 103
Salt Lake City, UT 84105-3523
Phone
(801) 466-1212
NPI assigned
May 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 14292332-9926 UT Primary

Addresses

Primary practice location

1963 S 1200 E Ste 103
Salt Lake City, UT 84105-3523

Mailing address

2021 E Sunnyside Ave Unit 6210
Salt Lake City, UT 84108-1496
Phone (615) 617-7018

Other practice location 1

1919 7th Ave S
Birmingham, AL 35233-2005
Phone (205) 934-3000

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

Practice roles

OrganizationSpecialtyStatusNew patients
SLC PDC PLLC PastSince Jul 4, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1457044414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 E SUNNYSIDE AVE UNIT 6210",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081496",
            "telephone_number": "615-617-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1963 S 1200 E STE 103",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053523",
            "telephone_number": "801-466-1212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 7th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352332005",
            "country_code": "US",
            "telephone_number": "205-934-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAY",
        "first_name": "NIKI",
        "middle_name": "XIRAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "14292332-9926",
            "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 7, 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.