OrganizationActive
Jerry Chidester MD PLLC
NPI 1558983775 · Clinic/Center · Draper, UT
Jerry Chidester MD PLLC is a Clinic/Center organization in Draper, UT (NPI 1558983775).
Provider details
- NPI number
- 1558983775
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeremy Chidester, Plastic Surgeon(801) 839-5557
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
11762 S State St Ste 333
Draper, UT 84020-7166
Phone: (801) 839-5557
Street-level locationGet directions
Mailing address
11762 S State St Ste 333
Draper, UT 84020-7166
Registry dates
- Enumerated
- 2020-05-11
- Last updated
- 2020-05-11
- Certified
- 2020-05-11
Frequently asked questions
- What is Jerry Chidester MD PLLC's NPI number?
- Jerry Chidester MD PLLC's National Provider Identifier (NPI) is 1558983775, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jerry Chidester MD PLLC?
- Jerry Chidester MD PLLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jerry Chidester MD PLLC located?
- Jerry Chidester MD PLLC's practice location on file with NPPES is 11762 S State St Ste 333, Draper, UT 84020-7166.
- What is Jerry Chidester MD PLLC's phone number?
- The practice phone number listed in the NPPES registry for Jerry Chidester MD PLLC is (801) 839-5557.
- Who is the authorized official for Jerry Chidester MD PLLC?
- The authorized official listed on Jerry Chidester MD PLLC's NPPES record is Jeremy Chidester, Plastic Surgeon. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jerry Chidester MD PLLC's NPI active?
- Yes — Jerry Chidester MD PLLC's NPI (1558983775) is active in the NPPES registry as of the last update on 2020-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.