Individual provider Active NPI

Dontai Warner, PA-C

  • Physician Assistant
  • Layton, UT
National Provider Identifier
1992109946
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9172019-1206 Issued in UT
Practice address
2075 University Park Blvd
Layton, UT 84041-1611
Phone
(801) 614-5500
Fax
(801) 825-8519
NPI assigned
Oct 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9172019-1206 UT Primary

Addresses

Primary practice location

2075 University Park Blvd
Layton, UT 84041-1611

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 614-5500

Other identifiers 1

IdentifierTypeStateIssuer
U000097081MedicaidUT

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
I20150120000693 UT Practitioner - Physician Assistant 3173847233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

2075 N 1200
Layton, UT 84041-1611
Phone (801) 779-6200

2075 University Park Blvd
Layton, UT 84041-1611
Phone (801) 387-6200

2400 N Washington Blvd
North Ogden, UT 84414-7233
Phone (435) 792-1770

4403 Harrison Blvd
Suite 4815
Ogden, UT 84403-3333
Phone (801) 387-8350

700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600

Hospital & facility affiliations

  • Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9172019-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Medical PC Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Apr 1, 2017 Accepting new patients
Ihc Health Services Inc CurrentSince Apr 1, 2017 Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

1477 N 2000 W
Clinton, UT 84015
Phone (801) 774-8888

1477 N 2000 W
Ste C
Clinton, UT 84015
Phone (801) 546-9441

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

2075 University Park Blvd
Layton, UT 84041
Phone (801) 367-2775

2400 N Washington Blvd
Ogden, UT 84414
Phone (801) 387-8300

4403 Harrison Blvd
Ste 4815
Ogden, UT 84403
Phone (801) 387-8350

975 Chambers St
South Ogden, UT 84403
Phone (801) 387-6200

935 N 1000 W
Tremonton, UT 84337
Phone (435) 207-4800

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1992109946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "801-614-5500",
            "fax_number": "801-825-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 UNIVERSITY PARK BLVD",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411611",
            "telephone_number": "801-614-5500",
            "fax_number": "801-825-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "DONTAI",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "9172019-1206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "U000097081",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

Verify at the official NPI Registry.