OrganizationActive
Wasatch Pediatrics, Inc
NPI 1124102595 · Pediatrics Physician · West Jordan, UT
Provider details
- NPI number
- 1124102595
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alyshia Rice, Provider Relations(801) 453-9625
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Dental Providers
- Oral and Maxillofacial Surgery (Dentist)1223S0112X
Dental Providers
- General Practice Dentistry1223G0001X
Dental Providers
- Pediatric Dentistry1223P0221X
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9071 S 1300 W Ste 205
West Jordan, UT 84088-6725
Phone: (801) 453-9625
Fax: (801) 944-7347
Street-level locationGet directions
Mailing address
9071 S 1300 W Ste 205
West Jordan, UT 84088-6725
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2025-12-22
- Certified
- 2025-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.