Jordan Valley Dermatology Center LLC
NPI 1558766477 · Dermatology Physician · West Jordan, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jordan Valley Dermatology Center LLC is a Dermatology Physician organization in West Jordan, UT (NPI 1558766477).
Provider details
- NPI number
- 1558766477
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wesley Brown, Owner(801) 569-1456
- License
- 1756931205 (UT)
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
11 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
- 2014-11-04
- Last updated
- 2014-11-04
Frequently asked questions
- What is Jordan Valley Dermatology Center LLC's NPI number?
- Jordan Valley Dermatology Center LLC's National Provider Identifier (NPI) is 1558766477, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jordan Valley Dermatology Center LLC?
- Jordan Valley Dermatology Center LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Jordan Valley Dermatology Center LLC located?
- Jordan Valley Dermatology Center LLC's practice location on file with NPPES is 3570 W 9000 S, West Jordan, UT 84088-8869.
- What is Jordan Valley Dermatology Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Jordan Valley Dermatology Center LLC is (801) 569-1456.
- Does Jordan Valley Dermatology Center LLC accept Medicare?
- Jordan Valley Dermatology Center LLC 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 Jordan Valley Dermatology Center LLC?
- The authorized official listed on Jordan Valley Dermatology Center LLC's NPPES record is Wesley Brown, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jordan Valley Dermatology Center LLC's NPI active?
- Yes — Jordan Valley Dermatology Center LLC's NPI (1558766477) is active in the NPPES registry as of the last update on 2014-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.