OrganizationActive
The Dermatology House PC
NPI 1316470750 · Dermatology Physician · Park City, UT
Provider details
- NPI number
- 1316470750
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelly Stankiewicz, Owner(415) 802-1310
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1526 Ute Blvd
Ste 104
Park City, UT 84098-7522
Phone: (415) 802-1310
Street-level locationGet directions
Mailing address
1526 Ute Blvd
Park City, UT 84098-7522
Registry dates
- Enumerated
- 2017-04-04
- Last updated
- 2024-02-20
- Certified
- 2024-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.