Active NPI
Summit Vitality Partners, PLLC
- Clinic/Center
- Salt Lake City, UT
National Provider Identifier
1104741099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.