Wasatch Pediatric Dentistry, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

WASATCH PEDIATRIC DENTISTRY, PC

Practice address

530 W 465 N Ste 703
Providence, UT 84332-8006

Phone

(435) 999-0234

Fax

(435) 363-9151

NPI assigned

Jul 8, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Kurt Vest, DMDNPI 1457794315

Title

Owner

Phone

(435) 999-0234

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Kurt Gordon Vest, DMD

  • Pediatric Dentistry
  • Providence, UT
  • NPI 1457794315
  NPD Authorized official
• Jacob Tuft, DMD

  • Pediatric Dentistry
  • Providence, UT
  • NPI 1669101317
  NPD

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1487216685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 E 2450 N",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843414705",
            "telephone_number": "801-360-8775",
            "fax_number": "435-514-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W 465 N STE 703",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843328006",
            "telephone_number": "435-999-0234",
            "fax_number": "435-363-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH PEDIATRIC DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "VEST",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-999-0234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457794315",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Waite, RBT
• Aurie Lyn Walker
• Troy R Walton, D.D.S.
• Kade Ward, DPT
• Wasatch Anesthesia LLC
• Jesse Charles Washburn, DO
• McKinzie Weber
• Steven John Weber, DO
• Erin A Welker, CRNA
• Amele Paige Welliver

• Pediatric Dentistry in Providence, UT
• Providers in Providence, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.