Organization Active NPI

Wasatch Endoscopy Center LTD

  • Ambulatory Surgical Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1881701290
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
2006-ASF-769 Issued in UT
Legal business name
WASATCH ENDOSCOPY CENTER LTD
Practice address
1220 E 3900 S Ste 1B
Salt Lake City, UT 84124-1327
Phone
(801) 281-3657
Fax
(801) 281-4258
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
David McKnight
Title
VP/Cfo
Phone
(972) 789-2816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 2006-ASF-769 UT Primary

Addresses

Primary practice location

1220 E 3900 S Ste 1B
Salt Lake City, UT 84124-1327

Mailing address

1220 E 3900 S Ste 1B
Salt Lake City, UT 84124-1327
Phone (801) 281-3657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080619000095 UT Part B Supplier - Ambulatory Surgical Center 6406927417 Practice locations: Salt Lake City, UT

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Wasatch Endoscopy Center LTDCCN 46C0001016
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D0950188Wasatch Endoscopy Center1220 E 3900 S #1B, Salt Lake City, UT 84124Certificate of waiverAug 19, 2026

National Provider Directory

National Provider Directory

Locations

1220 E 3900 S
Ste 1B
Salt Lake Cty, UT 84124
Phone (801) 281-3657

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1881701290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E 3900 S STE 1B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241327",
            "telephone_number": "801-281-3657",
            "fax_number": "801-281-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E 3900 S STE 1B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241327",
            "telephone_number": "801-281-3657",
            "fax_number": "801-281-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH ENDOSCOPY CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "972-789-2816"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "UT",
            "license": "2006-ASF-769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.