Alta Bella Plastic Surgery PLLC
NPI 1023721537 · Plastic Surgery Physician · Salt Lake City, UT
Alta Bella Plastic Surgery PLLC is a Plastic Surgery Physician organization in Salt Lake City, UT (NPI 1023721537).
Provider details
- NPI number
- 1023721537
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melody Van Boerum, Surgeon/Owner(801) 613-1626
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-12-29
- Last updated
- 2022-12-29
- Certified
- 2022-12-29
Frequently asked questions
- What is Alta Bella Plastic Surgery PLLC's NPI number?
- Alta Bella Plastic Surgery PLLC's National Provider Identifier (NPI) is 1023721537, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Alta Bella Plastic Surgery PLLC?
- Alta Bella Plastic Surgery PLLC is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Alta Bella Plastic Surgery PLLC located?
- Alta Bella Plastic Surgery PLLC's practice location on file with NPPES is 370 E 9th Ave Ste 200, Salt Lake City, UT 84103-3185.
- What is Alta Bella Plastic Surgery PLLC's phone number?
- The practice phone number listed in the NPPES registry for Alta Bella Plastic Surgery PLLC is (801) 613-1626.
- Who is the authorized official for Alta Bella Plastic Surgery PLLC?
- The authorized official listed on Alta Bella Plastic Surgery PLLC's NPPES record is Melody Van Boerum, Surgeon/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Alta Bella Plastic Surgery PLLC's NPI active?
- Yes — Alta Bella Plastic Surgery PLLC's NPI (1023721537) is active in the NPPES registry as of the last update on 2022-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.