Organization Active NPI

WS PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Orem, UT
National Provider Identifier
1609325091
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
370600-9921 Issued in UT
Legal business name
WS PLLC
Practice address
167 N 400 W
#A4
Orem, UT 84057-1909
Phone
(801) 434-5437
NPI assigned
Sep 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Authorized official

Name
Dr. Adam Nicholas Shepherd, DDS
Title
Partner
Phone
(801) 434-5437

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 8012319 UT
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 370600-9921 UT Primary

Addresses

Primary practice location

167 N 400 W
#A4
Orem, UT 84057-1909

Mailing address

167 N 400 W
#A4
Orem, UT 84057-1909
Phone (801) 434-5437

Other identifiers 2

IdentifierTypeStateIssuer
1174859060MedicaidUT
1306080353MedicaidUT

National Provider Directory

National Provider Directory

Locations

167 N 400 W
#A4
Orem, UT 84057
Phone (801) 434-5437

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1609325091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 N 400 W",
            "address_2": "#A4",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840571909",
            "telephone_number": "801-434-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 N 400 W",
            "address_2": "#A4",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840571909",
            "telephone_number": "801-434-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "801-434-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "8012319",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "370600-9921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174859060",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306080353",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.