Individual provider Active NPI

Eric C Chenworth, DO

  • Allergy & Immunology Physician
  • Riverton, UT
National Provider Identifier
1700859907
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
7666176-1204 Issued in UT
Practice address
13348 S Market Center Dr
Ste 220
Riverton, UT 84065-8011
Phone
(385) 290-1289
Fax
(385) 290-1290
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 46865 CO
Internal Medicine Physician 207R00000X 46865 CO
Allergy & Immunology Physician 207K00000X 7666176-1204 UT Primary

Addresses

Primary practice location

13348 S Market Center Dr
Ste 220
Riverton, UT 84065-8011

Mailing address

13348 S Market Center Dr Ste 220
Riverton, UT 84065-8011
Phone (385) 290-1289

Other identifiers 1

IdentifierTypeStateIssuer
32024738MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100707000304 UT Practitioner - Allergy/Immunology 0446164313 Reassigns benefits to 1 organization
I20260116000438 TX Practitioner - Allergy/Immunology 0446164313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13348 S Market Ctr Dr
Suite 220
Riverton, UT 84065-8011
Phone (385) 290-1289

669 Agency Main St
Harlem, MT 59526-9455
Phone (406) 353-3919

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7666176-1204UTMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
U S Health Dept of Health & Human Services CurrentSince Oct 31, 2025 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Oct 31, 2025 Accepting new patients

Locations

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

453 Pine Grove Rd
Hays, MT 59527
Phone (406) 353-3190

Interoperability endpoints

  • Direct secure messaging: eric.chenworth.1@30338.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1700859907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13348 S MARKET CENTER DR STE 220",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840658011",
            "telephone_number": "385-290-1289",
            "fax_number": "385-290-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13348 S MARKET CENTER DR",
            "address_2": "STE 220",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840658011",
            "telephone_number": "385-290-1289",
            "fax_number": "385-290-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENWORTH",
        "first_name": "ERIC",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CO",
            "license": "46865",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "46865",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "UT",
            "license": "7666176-1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32024738",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, UT

Sources for this page

Verify at the official NPI Registry.