Shadow Mountain Family Medicine LLC
NPI 1225294697 · Family Medicine Physician · West Jordan, UT
Shadow Mountain Family Medicine LLC is a Family Medicine Physician organization in West Jordan, UT (NPI 1225294697).
Provider details
- NPI number
- 1225294697
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Kane, Vp(801) 568-5999
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
17 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
- 2008-08-05
- Last updated
- 2009-06-04
Frequently asked questions
- What is Shadow Mountain Family Medicine LLC's NPI number?
- Shadow Mountain Family Medicine LLC's National Provider Identifier (NPI) is 1225294697, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shadow Mountain Family Medicine LLC?
- Shadow Mountain Family Medicine LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Shadow Mountain Family Medicine LLC located?
- Shadow Mountain Family Medicine LLC's practice location on file with NPPES is 3855 W 7800 S, West Jordan, UT 84088-5560.
- What is Shadow Mountain Family Medicine LLC's phone number?
- The practice phone number listed in the NPPES registry for Shadow Mountain Family Medicine LLC is (801) 282-5952.
- Who is the authorized official for Shadow Mountain Family Medicine LLC?
- The authorized official listed on Shadow Mountain Family Medicine LLC's NPPES record is David Kane, Vp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shadow Mountain Family Medicine LLC's NPI active?
- Yes — Shadow Mountain Family Medicine LLC's NPI (1225294697) is active in the NPPES registry as of the last update on 2009-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.