Organization Active NPI

Summit Vitality Partners, PLLC

  • Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1104741099
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SUMMIT VITALITY PARTNERS, PLLC
Practice address
56 E Broadway Ste 724
Salt Lake City, UT 84111-2232
Phone
(385) 479-7575
Fax
(385) 479-7575
NPI assigned
Aug 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Dr. David M Stettler, DO
Title
Managing Member
Phone
(385) 479-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

56 E Broadway Ste 724
Salt Lake City, UT 84111-2232

Mailing address

56 E Broadway Ste 724
Salt Lake City, UT 84111-2232
Phone (385) 479-7575

Other names 1

  • Evertitan Doing business as

National Provider Directory

National Provider Directory

Locations

56 E Broadway
Ste 724
Salt Lake City, UT 84111

NPI Registry JSON

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1104741099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 E BROADWAY STE 724",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112232",
            "telephone_number": "385-479-7575",
            "fax_number": "385-479-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 E BROADWAY STE 724",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112232",
            "telephone_number": "385-479-7575",
            "fax_number": "385-479-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT VITALITY PARTNERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "STETTLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "385-479-7575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evertitan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.