Legacy Dermatology
NPI 1376944942 · Medical Specialty Clinic/Center · Bountiful, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Legacy Dermatology is a Medical Specialty Clinic/Center organization in Bountiful, UT (NPI 1376944942).
Provider details
- NPI number
- 1376944942
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jared Heaton, Physician(435) 770-9247
- License
- 9017921-1204 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
- 2014-09-14
- Last updated
- 2014-09-14
Frequently asked questions
- What is Legacy Dermatology's NPI number?
- Legacy Dermatology's National Provider Identifier (NPI) is 1376944942, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Dermatology?
- Legacy Dermatology is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Legacy Dermatology located?
- Legacy Dermatology's practice location on file with NPPES is 320 W 500 S, Bountiful, UT 84010-7218.
- What is Legacy Dermatology's phone number?
- The practice phone number listed in the NPPES registry for Legacy Dermatology is (385) 312-0650.
- Does Legacy Dermatology accept Medicare?
- Legacy Dermatology is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Legacy Dermatology?
- The authorized official listed on Legacy Dermatology's NPPES record is Jared Heaton, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Dermatology's NPI active?
- Yes — Legacy Dermatology's NPI (1376944942) is active in the NPPES registry as of the last update on 2014-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.