Dane Bradford Whittaker, AU.D

Primary specialty

AudiologistTaxonomy code 231H00000X

License

8391810-4101 Issued in UT

Practice address

617 E Riverside Dr Ste 201
Saint George, UT 84790-8721

Phone

(435) 628-3334

NPI assigned

Jun 3, 2020

Last updated

Jun 3, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, AK2 enrollments

Enrollment records 2

Specialty

Qualified Audiologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Utah Ear Nose and Throat LLCGroup PAC ID 4082772777, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

76.42 of 100Reported as group

Quality

65.48

Promoting interoperability

95

Improvement activities

40

Cost

60.1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southern Utah Ear Nose & Throat LLC

  • Otolaryngology Physician
  • St George, UT
  • NPI 1679733869
  Medicare reassignment Care Compare group NPD
• Ear Nose & Throat Clinic Inc.

  • Otolaryngology Physician
  • Fairbanks, AK
  • NPI 1023179587
  Medicare reassignment NPD
• Elite Anesthesia Associates

  • Certified Registered Nurse Anesthetist
  • Orem, UT
  • NPI 1922627975
  NPD (past)

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1831713049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 E RIVERSIDE DR STE 201",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847908721",
            "telephone_number": "435-628-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 E RIVERSIDE DR STE 201",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847908721",
            "telephone_number": "435-628-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "DANE",
        "middle_name": "BRADFORD",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "8391810-4101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryant Mark Whiting, M.D.
• Payton Whitlock
• Aubree Whitman
• Joelle Marie Whitney
• John Graham Whitney
• Sara Whittington
• Whole Child Approach
• Mariah Wichael
• Bobbee Wiedeman
• Abigail Emma Wight

• Audiologist in St George, UT
• Providers in St George, UT by specialty
• Audiologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.