Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jeffrey M Wallentine, MD

Orthopaedic Surgery Physician in Provo, UT · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124121934

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Registry record

Entity type Individual (Type 1)

Name Jeffrey M Wallentine

Credential MD

Sex Male

Practice address 1055 N 500 W, Suite 121, Provo, UT, 84604

Phone (801) 373-7350

Fax (801) 812-5401

Enumeration date Sep 7, 2006

Last updated in NPPES Nov 27, 2023

Taxonomy & licenses

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License 356423-1205 (UT) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
107008449102	Other	UT	IHC
68080	Other	UT	PEHP
09-00180	Other	UT	UTAH HEALTHCARE
344490	Other	UT	DMBA
870281028000	Medicaid	UT	-
QM000056640	Other	UT	ALTIUS
200045124	Other	UT	PALMETTO
870281028WAL	Other	UT	EMIA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Jeffrey Wallentine's NPI record?

Cross-check NPI 1124121934 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1124121934 active?

Yes, as of the latest NPPES snapshot, NPI 1124121934 is active (record last updated 2023-11-27).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-11-27.