Active NPI
Eric Whiting
- Dentist
- West Jordan, UT
National Provider Identifier
1487147914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11722037-9922
- Practice address
- 2618 W 7800 S Ste 100
West Jordan, UT 84088-4212 - Phone
- (801) 380-5279
- NPI assigned
- Jun 9, 2018
- Last updated
- Aug 9, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 11722037-9922 | UT | Primary |
Addresses
Primary practice location
2618 W 7800 S Ste 100
West Jordan, UT 84088-4212
Mailing address
2568 N Lake Mountain Rd
Eagle Mountain, UT 84005-4091
Phone (801) 380-5279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180904001439 | CA | Order and Referring Only - Dentist | 3577813047 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11722037-9922 | UT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596931200000",
"number": "1487147914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2568 N LAKE MOUNTAIN RD",
"city": "EAGLE MOUNTAIN",
"state": "UT",
"postal_code": "840054091",
"telephone_number": "801-380-5279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2618 W 7800 S STE 100",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840884212",
"telephone_number": "801-380-5279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITING",
"first_name": "ERIC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-09",
"last_updated": "2020-08-09",
"certification_date": "2020-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "11722037-9922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.