Devan Griner, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

374716-1205 Issued in UT

Practice address

11762 S State St Ste 110
Draper, UT 84020-7158

Phone

(385) 218-0587

Fax

(385) 381-4447

NPI assigned

May 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, UT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: devan.griner@1158.chartlogic.direct-ci.com

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.

• Peak ENT Associates

  dba Thyroid Institute of Utah

  • Otolaryngology/Facial Plastic Surgery Physician
  • Provo, UT
  • NPI 1346489036
  Medicare reassignment NPD
• Peak Plastic Surgery, PLLC

  dba Peak Prosthetics

  • Plastic Surgery Physician
  • Draper, UT
  • NPI 1477041101
  Medicare reassignment NPD
• Wise Cleft Center for Excellence LLC

  • Plastic Surgery Physician
  • Draper, UT
  • NPI 1588407142
  Medicare reassignment NPD
• The Plastic Surgery Group, P.C.

  • Plastic and Reconstructive Surgery Physician
  • Chattanooga, TN
  • NPI 1356302723

  Plastic Surgery

  Medicare reassignment NPD
• Cranio Ninja LLC

  dba Peak Prosthetics

  • Durable Medical Equipment & Medical Supplies
  • Layton, UT
  • NPI 1700483567
  NPD Authorized official
• Precision Prosthetics LLC

  • Prosthetic/Orthotic Supplier
  • Provo, UT
  • NPI 1518705888
  NPD
• The Plastic Surgery Group,PC

  • Prosthetic/Orthotic Supplier
  • Chattanooga, TN
  • NPI 1417451048
  NPD

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1780895755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11762 S STATE ST STE 110",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207158",
            "telephone_number": "385-218-0587",
            "fax_number": "385-381-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11762 S STATE ST STE 110",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207158",
            "telephone_number": "385-218-0587",
            "fax_number": "385-381-4447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11762 S State St Ste 320",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840207166",
            "country_code": "US",
            "telephone_number": "801-702-9191",
            "fax_number": "877-326-3388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRINER",
        "first_name": "DEVAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "UT",
            "license": "374716-1205",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "UT",
            "license": "374716-1205",
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "UT",
            "license": "374716-1205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "103I933353",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Greene, APRN
• Patricia Ann Greene, M.A.
• Stephanie Greer
• Bryan Joseph Gregston Sr.
• Bradley Grgurich, DPT
• Rachel Grote
• Jeffrey W Groves, MD
• Michelle Grubb, CNM
• Elizabeth Gudiel, BCBA
• Gregg Michael Guilfoyle, DO

• Plastic Surgery Physician in Draper, UT
• Providers in Draper, UT by specialty
• Plastic Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.