Active NPI
Peak Plastic Surgery, PLLC
- Plastic Surgery Physician
- Draper, UT
National Provider Identifier
1477041101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- PEAK PLASTIC SURGERY, PLLC
- Practice address
- 11762 S State St Ste 320
Draper, UT 84020-7166 - Phone
- (801) 702-9191
- Fax
- (877) 326-3388
- NPI assigned
- Apr 27, 2018
- 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
- Denise Richards
- Title
- Billing Manager
- Phone
- (801) 602-2997
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
11762 S State St Ste 320
Draper, UT 84020-7166
Mailing address
11762 S State St Ste 320
Draper, UT 84020-7166
Phone (801) 702-9191
Other names 1
- Peak Prosthetics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
6686 S Highland Dr
Cottonwood Heights, UT 84121
Phone (801) 647-5522
96 E Kimballs Ln
Ste 304
Draper, UT 84020
Phone (801) 571-9433
11762 S State St
Ste 320
Draper, UT 84020
Phone (801) 380-3894
11762 S State St
Ste 315
Draper, UT 84020
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Draper, UT
- NPI 1780895755
-
- Plastic Surgery Physician
- Draper, UT
- NPI 1972769917
-
- Speech-Language Pathologist
- Provo, UT
- NPI 1154976686
-
- Physician Assistant
- Draper, UT
- NPI 1013532001
-
- Prosthetist
- Layton, UT
- NPI 1720655459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756771200000",
"number": "1477041101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11762 S STATE ST STE 320",
"city": "DRAPER",
"state": "UT",
"postal_code": "840207166",
"telephone_number": "801-702-9191",
"fax_number": "877-326-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11762 S STATE ST STE 320",
"city": "DRAPER",
"state": "UT",
"postal_code": "840207166",
"telephone_number": "801-702-9191",
"fax_number": "877-326-3388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK PLASTIC SURGERY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-27",
"last_updated": "2025-09-02",
"certification_date": "2025-02-20",
"status": "A",
"authorized_official_last_name": "RICHARDS",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "801-602-2997"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Peak Prosthetics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.