Developmental Pediatrics

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

Legal business name

DEVELOPMENTAL PEDIATRICS

Practice address

44 N Medical Dr
Salt Lake City, UT 84113-1105

Phone

(801) 213-3469

NPI assigned

Mar 27, 2009

Organization subpart

No

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

Authorized official

Name

Elizabeth P Ringwood

Title

Provider Enrollment Specialist

Phone

(801) 587-6466

Specialties & licenses 1

Addresses

Other names 1

• U of U Developmental Pediatrics Other name

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1720220353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413021",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841410001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 N MEDICAL DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841131105",
            "telephone_number": "801-213-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "RINGWOOD",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "801-587-6466"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U of U Developmental Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Janis Destromp
• Lorie Lynn Desvari, CPSS
• Andra Devaiah, LCSW
• Lauren Mari' Devard
• Aline Devaud, LCSW
• Heather Develyn
• Dale Brad Deveraux
• Trudy Devilla, OT
• Penelope Devine
• Parker Devitry, CSW

• Developmental - Behavioral Pediatrics Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Developmental - Behavioral Pediatrics Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.