Active NPI
Dallon Whitney, P.A.
- Family Medicine Physician
- Vernal, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 49749541206
- Practice address
- 379 N 500 W
Suite 1a
Vernal, UT 84078-1956 - Phone
- (435) 789-1165
- Fax
- (435) 789-1169
- NPI assigned
- Apr 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 49749541206 | UT | Primary |
Addresses
Primary practice location
379 N 500 W
Suite 1a
Vernal, UT 84078-1956
Mailing address
379 N 500 W
Suite 1a
Vernal, UT 84078-1956
Phone (435) 789-1165
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49749541206 | Other | UT | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090424000113 | UT | Practitioner - Physician Assistant | 8224186515 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49749541206 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Basin Medical Clinic LLC | Family Medicine | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
652 S Medical Center Dr
Ste 120
St George, UT 84790
Phone (435) 251-3600
3930 W Parkway Blvd
West Valley City, UT 84120
Phone (435) 462-2441
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891914941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "379 N 500 W",
"address_2": "SUITE 1A",
"city": "VERNAL",
"state": "UT",
"postal_code": "840781956",
"telephone_number": "435-789-1165",
"fax_number": "435-789-1169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "379 N 500 W",
"address_2": "SUITE 1A",
"city": "VERNAL",
"state": "UT",
"postal_code": "840781956",
"telephone_number": "435-789-1165",
"fax_number": "435-789-1169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITNEY",
"first_name": "DALLON",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "49749541206",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "49749541206",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vernal, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.