Treagan Nephi White, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8538394-9923 Issued in UT

Practice address

55 N Redwood Rd Ste B
Salt Lake City, UT 84116-3174

Phone

(801) 519-2222

NPI assigned

Jun 22, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rose Park Pediatric Dentistry, PC

  • Pediatric Dentistry
  • Salt Lake City, UT
  • NPI 1831338623
  NPD (past)
• Gardner and Anderson Dental Specialists PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Elko, NV
  • NPI 1518146364
  NPD (past)

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1659667343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E 3550 S",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840103325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N REDWOOD RD STE B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841163174",
            "telephone_number": "801-519-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1760 Browning Way",
            "address_purpose": "LOCATION",
            "city": "Elko",
            "state": "NV",
            "postal_code": "898018312",
            "country_code": "US",
            "telephone_number": "775-753-6118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TREAGAN",
        "middle_name": "NEPHI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "S6-151C",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "8538394-8903",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "8538394-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenzie Anne White
• Morgan White
• Ryan Hyrum White, ACMHC
• Sara Ann White, PHARM.D.
• Shelley White, LCSW
• Yasmine White, MD
• Sofia Whitefields, RD
• Christopher Hahn Whitehead, CMHC
• Emma Whitehead
• Gina Whitehead, A.P.R.N.

• Pediatric Dentistry in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.