WASATCH PEDIATRICS INC NPI 1124102595

NPI Information

  • NPI: 1124102595
  • Provider Name: WASATCH PEDIATRICS, INC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 9071 S 1300 W STE 205
    WEST JORDAN, UT
    ZIP 84088
  • Phone: (801) 453-9625

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NPI Details

WASATCH PEDIATRICS, INC is a pediatrics in West Jordan, UT. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. WASATCH PEDIATRICS, INC NPI is 1124102595. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9071 S 1300 W STE 205
WEST JORDAN, UT
ZIP 84088-725
Phone: (801) 453-9625
Fax: (801) 944-7347

The provider's authorized official is Alyshia Rice .
The authorized official title is Provider Relations and has the following contact phone number (801) 453-9625.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 9/8/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeNo
21223P0221XDentistPediatric DentistryNo
3208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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