Active NPI 1811945769 Individual Practitioner Male Practitioner

Dr. Dustin Bryant Wise , MD

Pediatrics • Pleasant Grove, UT

Professional Overview & Biography Verified Profile Summary

Dr. Dustin Wise, MD is a registered healthcare professional specializing in Pediatrics in Pleasant Grove, UT. Practice services are available at 1888 W 800 N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1888 W 800 N

Pleasant Grove, UT 840624097

Telephone 8014927851

Fax 8014927883

Associated Practice Facility / Clinic

🏢 Dustin B. Wise, M.d., P.c. Facility NPI 1932249299

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Pleasant Grove, UT

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 21.9 Yrs

Regional Practice Density

16 Specialists

Practicing in Pleasant Grove, UT (688 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-09-09

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License UT 52479661205

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ihc Health Plans

107017722102 (UT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Ryan Rasmussen

Nurse Practitioner - Family

NPI 1356625859

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 13, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 13, 2011

Registered at 1888 W 800 N, PLEASANT GROVE, UT 840624097 (Tel: 8014927851)

📍

Updated Business Mailing Address January 13, 2011

Registered at 1888 W 800 N, PLEASANT GROVE, UT 84062 (Tel: 8014927851)

👤

Provider Name / Credentials Updated January 13, 2011

Recorded as DUSTIN WISE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2011

Pediatrics (License #52479661205 in UT)

🟢

Initial NPI Registration & Enumeration May 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811945769

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 04, 2006

Last Update: September 09, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1888 W 800 N

Pleasant Grove, UT 84062

Phone: 8014927851

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.