Active NPI
Matthew James Devries, MD
- Pediatrics Physician
- Pleasant Grove, UT
National Provider Identifier
1831848779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 14239388-1205
- Practice address
- 1912 W 930 N
Pleasant Grove, UT 84062-4104 - Phone
- (801) 492-1999
- Fax
- (801) 492-1991
- NPI assigned
- Mar 19, 2022
- Reactivated
- Apr 28, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 14239388-1205 | 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
Other practice location 1
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone (602) 933-0945
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14239388-1205 | UT | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1831848779",
"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": "801-492-1991"
},
{
"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": "801-492-1991"
}
],
"practiceLocations": [
{
"address_1": "1919 E Thomas Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850167710",
"country_code": "US",
"telephone_number": "602-933-0945",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEVRIES",
"first_name": "MATTHEW",
"middle_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-19",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"deactivation_date": "2023-04-09",
"reactivation_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "UT",
"license": "14239388-1205",
"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 Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.