Organization Active NPI

Whitecap Institiute

  • Health Maintenance Organization
  • Heber City, UT
National Provider Identifier
1497164032
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
9053425-8903 Issued in UT
Legal business name
WHITECAP INSTITIUTE
Practice address
380 E 1500 S Ste 205
Heber City, UT 84032-3942
Phone
(435) 657-2105
Fax
(435) 709-3079
NPI assigned
Aug 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Authorized official

Name
Riley Dean Clark, DMDNPI 1568831279
Title
Dentist
Phone
(435) 657-1205

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 9053425-8903 UT Primary

Addresses

Primary practice location

380 E 1500 S Ste 205
Heber City, UT 84032-3942

Mailing address

380 E 1500 S Ste 205
Heber City, UT 84032-3942
Phone (435) 657-2105

National Provider Directory

National Provider Directory

Locations

380 E 1500 S
Ste 205
Heber City, UT 84032
Phone (435) 657-1700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1497164032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E 1500 S STE 205",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840323942",
            "telephone_number": "435-657-2105",
            "fax_number": "435-709-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E 1500 S STE 205",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840323942",
            "telephone_number": "435-657-2105",
            "fax_number": "435-709-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITECAP INSTITIUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "RILEY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "435-657-1205",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "UT",
            "license": "9053425-8903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.