Individual provider Active NPI

Weston E. Spencer, M.D.

  • Pediatrics Physician
  • Pleasant Grove, UT
National Provider Identifier
1649295809
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2444562-1205 Issued in UT
Practice address
1912 W 930 N
Pleasant Grove, UT 84062-4104
Phone
(801) 492-1999
Fax
(801) 922-9370
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2444562-1205 UT Primary

Addresses

Primary practice location

1912 W 930 N
Pleasant Grove, UT 84062-4104

Mailing address

1912 W 930 N
Pleasant Grove, UT 84062-4104
Phone (801) 492-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2444562-1205UTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Pediatrics, PC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: weston.spencer.p1@direct.alpinepeds.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649295809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 W 930 N",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840624104",
            "telephone_number": "801-492-1999",
            "fax_number": "801-922-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 W 930 N",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840624104",
            "telephone_number": "801-492-1999",
            "fax_number": "801-922-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "WESTON",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "2444562-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.