NPIMap

Organization Active NPI

American Fork Pediatrics, Inc.

  • Pediatrics Physician
  • American Fork, UT
National Provider Identifier
1730568445
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
168875-1205 Issued in UT
Legal business name
AMERICAN FORK PEDIATRICS, INC.
Practice address
48 N 1100 E
Suite C
American Fork, UT 84003-2910
Phone
(801) 492-4333
Fax
(801) 492-4371
NPI assigned
May 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Authorized official

Name
Michael D Whiting, M.D.NPI 1548220148
Title
Owner
Phone
(801) 492-4333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 168875-1205 UT Primary

Addresses

Primary practice location

48 N 1100 E
Suite C
American Fork, UT 84003-2910

Mailing address

48 N 1100 E
Suite C
American Fork, UT 84003-2910
Phone (801) 492-4333

Other identifiers 1

IdentifierTypeStateIssuer
534542093027MedicaidUT

National Provider Directory

National Provider Directory

Locations

1248 E 90 N
Ste 202
American Fork, UT 84003

48 N 1100 E
Ste C
American Fork, UT 84003
Phone (801) 492-4333

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/2f242d85-274e-4e3f-a641-44b7b63bac25/

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1730568445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 N 1100 E",
            "address_2": "SUITE C",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032910",
            "telephone_number": "801-492-4333",
            "fax_number": "801-492-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 N 1100 E",
            "address_2": "SUITE C",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032910",
            "telephone_number": "801-492-4333",
            "fax_number": "801-492-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN FORK PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "WHITING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-492-4333",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "168875-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "534542093027",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.