IndividualActive
David Boettger, M.D.
NPI 1811937006 · Pediatrics Physician · Sandy, UT
Provider details
- NPI number
- 1811937006
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 1723311205 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
9720 S 1300 E
W120
Sandy, UT 84094-3712
Phone: (801) 572-6700
Fax: (801) 572-6700
Street-level locationGet directions
Mailing address
6333 Crestmount Cir
Salt Lake City, UT 84121-6350
Registry dates
- Enumerated
- 2006-06-07
- Last updated
- 2011-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.