NPIMap

Organization Active NPI

Heber Valley Pediatric

  • Pediatrics Physician
  • Heber City, UT
National Provider Identifier
1437529807
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
363586-1205 Issued in UT
Legal business name
HEBER VALLEY PEDIATRIC
Practice address
380 E 1500 S
Suite # 201
Heber City, UT 84032-3940
Phone
(435) 657-0101
Fax
(435) 657-1096
NPI assigned
Sep 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Authorized official

Name
Dr. David C LarsonNPI 1356324511
Title
Owner
Phone
(435) 657-0101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 363586-1205 UT Primary

Addresses

Primary practice location

380 E 1500 S
Suite # 201
Heber City, UT 84032-3940

Mailing address

380 E 1500 S
Suite # 201
Heber City, UT 84032-3940
Phone (435) 657-0101

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1437529807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E 1500 S",
            "address_2": "SUITE # 201",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840323940",
            "telephone_number": "435-657-0101",
            "fax_number": "435-657-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E 1500 S",
            "address_2": "SUITE # 201",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840323940",
            "telephone_number": "435-657-0101",
            "fax_number": "435-657-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBER VALLEY PEDIATRIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-657-0101",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "363586-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.