Individual provider Active NPI

Dallon Whitney, P.A.

  • Family Medicine Physician
  • Vernal, UT
National Provider Identifier
1891914941
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
49749541206 Issued in UT
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
49749541206OtherUTLICENSE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
49749541206UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Mar 11, 2009 Accepting new patients
Ihc Health Services Inc CurrentSince Mar 11, 2009 Accepting new patients
Basin Medical Clinic LLC Family Medicine PastSince Jun 1, 1997 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.

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

Verify at the official NPI Registry.