Active NPI
WS PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Orem, UT
National Provider Identifier
1609325091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 370600-9921
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 8012319 | UT | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174859060 | Medicaid | UT | |
| 1306080353 | Medicaid | UT |
National Provider Directory
National Provider DirectoryLocations
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.