Direct Pay Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

DIRECT PAY PEDIATRICS

Practice address

1434 E 9400 S Ste 100
Sandy, UT 84093-2909

Phone

(385) 463-2757

Fax

(385) 488-0693

NPI assigned

Jan 25, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dallin Hubbard, MD, PHDNPI 1144782426

Title

President

Phone

(385) 463-2757

Specialties & licenses 2

Addresses

Other names 1

• Direct Care Pediatrics Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dallin A. Hubbard, MD, PHD

  • Neonatal-Perinatal Medicine Physician
  • Salt Lake City, UT
  • NPI 1144782426
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1003678178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 E 9400 S STE 100",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840932909",
            "telephone_number": "385-463-2757",
            "fax_number": "385-488-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 E 9400 S STE 100",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840932909",
            "telephone_number": "385-463-2757",
            "fax_number": "385-488-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT PAY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "DALLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "385-463-2757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Direct Care Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Alyse Diaz, ED.S.
• Paul J Diehl, MD, PC
• Kara Elayne Diersing Clapp, PHD NP-C
• Thomas M Dietz, MD
• Lisa Dimick, RPH.
• Milan Djurich, DO
• Doctor Kara, P.C.
• Don H Hansen Physical Therapy Inc
• Donald a. Schmidt M.D,P.C.
• Mark Michael Donnelly

• Pediatrics Physician in Sandy, UT
• Providers in Sandy, UT by specialty
• Pediatrics Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.