Pediatric Allergy
NPI 1689840209 · Pediatric Allergy/Immunology Physician · Salt Lake City, UT
Pediatric Allergy is a Pediatric Allergy/Immunology Physician organization in Salt Lake City, UT (NPI 1689840209).
Provider details
- NPI number
- 1689840209
- Entity type
- Organization
- Primary specialty
- Pediatric Allergy/Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edward Clark, Chairperson(801) 587-7400
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
18 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
- 2008-05-03
- Last updated
- 2010-08-10
Frequently asked questions
- What is Pediatric Allergy's NPI number?
- Pediatric Allergy's National Provider Identifier (NPI) is 1689840209, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Allergy?
- Pediatric Allergy is classified in the NPPES registry as Pediatric Allergy/Immunology Physician (Allopathic & Osteopathic Physicians).
- Where is Pediatric Allergy located?
- Pediatric Allergy's practice location on file with NPPES is 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103.
- What is Pediatric Allergy's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Allergy is (801) 662-2100.
- Who is the authorized official for Pediatric Allergy?
- The authorized official listed on Pediatric Allergy's NPPES record is Edward Clark, Chairperson. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Allergy's NPI active?
- Yes — Pediatric Allergy's NPI (1689840209) is active in the NPPES registry as of the last update on 2010-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.