NPIMap

Individual provider Active NPI

Dustin Jay Siler, PA-C

  • Surgical Physician Assistant
  • Ogden, UT
National Provider Identifier
1881062370
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
10003901A Issued in IN
Practice address
4401 Harrison Blvd
Ogden, UT 84403-3195
Phone
(801) 387-2800
NPI assigned
Sep 14, 2015
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0005880 MD
Surgical Physician Assistant 363AS0400X PA-2777 ID
Surgical Physician Assistant 363AS0400X 10003901A IN Primary

Addresses

Primary practice location

4401 Harrison Blvd
Ogden, UT 84403-3195

Mailing address

PO Box 366
Farmington, UT 84025-0366

Other practice location 1

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 302-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY, ID3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20161205000705 UT Practitioner - Physician Assistant 0941519169 Reassigns benefits to 2 organizations
I20230828001444 WY Practitioner - Physician Assistant 0941519169 Reassigns benefits to 1 organization
I20250424001828 ID Practitioner - Physician Assistant 0941519169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1020 E 2ND St
Suite 201
Casper, WY 82601-2955
Phone (307) 233-0250

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121

1106 Big Horn Ave
Worland, WY 82401-2803
Phone (307) 347-8801

3025 W Cherry LN
Meridian, ID 83642-8531

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0005880MDMDPhysician Assistant
10003901AINMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Banner Health Physicians West LLC CurrentSince Nov 1, 2023 Accepting new patients
University of Utah Adult Services CurrentSince Nov 18, 2023 Accepting new patients
University of Utah Adult Services CurrentSince Nov 18, 2023 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Physician Assistant CurrentSince May 1, 2025 Accepting new patients
Ihc Health Services Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

4401 Harrison Blvd
South Ogden, UT 84403
Phone (801) 387-2800

1020 S Conwell St
Casper, WY 82601
Phone (307) 265-3622

1106 Big Horn Ave
Worland, WY 82401
Phone (307) 347-3221

Interoperability endpoints

  • Direct secure messaging: dsiler4177145@direct.trinity-health.org

Organizations & group practices 9

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.

Hospital & facility affiliations 6

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": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1881062370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840250366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 HARRISON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033195",
            "telephone_number": "801-387-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 N Curtis Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837061309",
            "country_code": "US",
            "telephone_number": "208-302-2600",
            "fax_number": "208-302-2625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILER",
        "first_name": "DUSTIN",
        "middle_name": "JAY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0005880",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "ID",
            "license": "PA-2777",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IN",
            "license": "10003901A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.