Wise Cleft Center for Excellence LLC
NPI 1588407142 · Plastic Surgery Physician · Draper, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wise Cleft Center for Excellence LLC is a Plastic Surgery Physician organization in Draper, UT (NPI 1588407142).
Provider details
- NPI number
- 1588407142
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gavin Lawrence, Director of Development(435) 669-7660
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2024-06-13
- Last updated
- 2025-02-20
- Certified
- 2025-02-20
Frequently asked questions
- What is Wise Cleft Center for Excellence LLC's NPI number?
- Wise Cleft Center for Excellence LLC's National Provider Identifier (NPI) is 1588407142, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wise Cleft Center for Excellence LLC?
- Wise Cleft Center for Excellence LLC is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Wise Cleft Center for Excellence LLC located?
- Wise Cleft Center for Excellence LLC's practice location on file with NPPES is 11762 S State St Ste 110, Draper, UT 84020-7158.
- What is Wise Cleft Center for Excellence LLC's phone number?
- The practice phone number listed in the NPPES registry for Wise Cleft Center for Excellence LLC is (385) 977-8125.
- Does Wise Cleft Center for Excellence LLC accept Medicare?
- Wise Cleft Center for Excellence LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wise Cleft Center for Excellence LLC?
- The authorized official listed on Wise Cleft Center for Excellence LLC's NPPES record is Gavin Lawrence, Director of Development. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wise Cleft Center for Excellence LLC's NPI active?
- Yes — Wise Cleft Center for Excellence LLC's NPI (1588407142) is active in the NPPES registry as of the last update on 2025-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.