NPIMap

Organization Active NPI

Wasatch Pediatrics, Inc

  • Pediatrics Physician
  • West Jordan, UT
National Provider Identifier
1124102595
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WASATCH PEDIATRICS, INC
Practice address
9071 S 1300 W Ste 205
West Jordan, UT 84088-6725
Phone
(801) 453-9625
Fax
(801) 944-7347
NPI assigned
Oct 24, 2006
Last updated
Dec 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Authorized official

Name
Alyshia Rice
Title
Provider Relations
Phone
(801) 453-9625

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X
Pediatric Dentistry 1223P0221X
Oral and Maxillofacial Surgery (Dentist) 1223S0112X
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

9071 S 1300 W Ste 205
West Jordan, UT 84088-6725

Mailing address

9071 S 1300 W Ste 205
West Jordan, UT 84088-6725
Phone (801) 453-9625

National Provider Directory

National Provider Directory
Tax ID family
Wasatch Pediatrics - Southpoint Dental3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

114 E 12450 S
Ste 100
Draper, UT 84020
Phone (801) 523-3001

6967 S River Gate Dr
Ste 100
Midvale, UT 84047

5770 S 250 E
Ste 290
Murray, UT 84107
Phone (801) 314-4240

750 Round Valley Dr
Ste 102
Park City, UT 84060
Phone (435) 655-0926

1140 E 3900 S
Ste 360
Salt Lake City, UT 84124
Phone (801) 264-8686

301 W 5400 S
Salt Lake City, UT 84107
Phone (801) 747-8700

5770 S 250 E
Ste 100
Salt Lake City, UT 84107

7138 S Highland Dr
Ste 106
Salt Lake City, UT 84121
Phone (801) 942-1800

7138 S 2000 E
Ste 103
Salt Lake Cty, UT 84121
Phone (801) 944-7891

7138 S Highland Dr
Ste 102
Salt Lake Cty, UT 84121
Phone (801) 251-6382

9071 S 1300 W
Ste 205
West Jordan, UT 84088
Phone (801) 453-9625

9071 S 1300 W
Ste 301
West Jordan, UT 84088
Phone (801) 565-1162

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 101

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 101

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1124102595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9071 S 1300 W STE 205",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840886725",
            "telephone_number": "801-453-9625",
            "fax_number": "801-944-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9071 S 1300 W STE 205",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840886725",
            "telephone_number": "801-453-9625",
            "fax_number": "801-944-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH PEDIATRICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "ALYSHIA",
        "authorized_official_title_or_position": "PROVIDER RELATIONS",
        "authorized_official_telephone_number": "801-453-9625"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.