Active NPI
Niki Xiran Way
- General Practice Dentistry
- Salt Lake City, UT
National Provider Identifier
1457044414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14292332-9926
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SLC PDC PLLC | Past | 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.
-
- Dentist
- Salt Lake City, UT
- NPI 1124438916
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.