Organization Active NPI

Wirt a Hines MD PC

  • Specialist
  • Salt Lake City, UT
National Provider Identifier
1679784102
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
150583-1205 Issued in UT
Legal business name
WIRT A HINES MD PC
Practice address
1121 E 3900 S
C 125
Salt Lake City, UT 84124-1214
Phone
(801) 266-3400
Fax
(801) 266-3401
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Wirt A Hines, M.D.
Title
M.D.
Phone
(801) 266-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 150583-1205 UT Primary

Addresses

Primary practice location

1121 E 3900 S
C 125
Salt Lake City, UT 84124-1214

Mailing address

1121 E 3900 S
C 125
Salt Lake City, UT 84124-1214
Phone (801) 266-3400

National Provider Directory

National Provider Directory

Locations

1121 E 3900 S
Ste C125
Salt Lake Cty, UT 84124
Phone (801) 266-3400

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679784102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 E 3900 S",
            "address_2": "C 125",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241214",
            "telephone_number": "801-266-3400",
            "fax_number": "801-266-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 E 3900 S",
            "address_2": "C 125",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241214",
            "telephone_number": "801-266-3400",
            "fax_number": "801-266-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIRT A HINES MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "WIRT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "801-266-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "150583-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.