OrganizationActive
Dustin B. Wise, M.D., P.C.
NPI 1932249299 · Pediatrics Physician · Pleasant Grove, UT
Provider details
- NPI number
- 1932249299
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dustin Wise, Owner(801) 492-7851
- License
- 5247966-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
1888 W 800 N
Pleasant Grove, UT 84062-4097
Phone: (801) 492-7851
Fax: (801) 492-7883
Street-level locationGet directions
Mailing address
1888 W 800 N
Pleasant Grove, UT 84062-4097
Other names (DBA / former)
- Doing business as
- Lone Peak Pediatrics
Registry dates
- Enumerated
- 2007-02-07
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.