Mountain West Pediatrics

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MOUNTAIN WEST PEDIATRICS

Doing business as

Elite Pediatrics

Practice address

2356 N 400 E Ste 202
Tooele, UT 84074-3409

Phone

(435) 843-8380

NPI assigned

Jun 6, 2024

Organization subpart

No

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

Authorized official

Name

Christine Corinne Gonzales

Title

Manager

Phone

(435) 843-8380

Specialties & licenses 1

Addresses

Other names 1

• Elite Pediatrics Doing business as

Locations

Practitioners 1

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

• Nikayla Dibble, NP

  • Nurse Practitioner
  • Tooele, UT
  • NPI 1619861150
  NPD (past)

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1427890953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 N 400 E STE 202",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 N 400 E STE 202",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743409",
            "telephone_number": "435-843-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN WEST PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "CORINNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "435-843-8380"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniela Patricia Moritz
• David Kay Morrill, OD
• Kailee Morris
• Heather Morrow
• Mountain West Family Practice LLC
• Mountain West Radiology, Inc.
• Shilo Miranda Mueller
• Kendra J Muir, RN
• Brian Michael Mullin, ED.S.
• Anthony Muradas

• Clinic/Center in Tooele, UT
• Providers in Tooele, UT by specialty
• Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.