Matis Dermatology, PC
NPI 1790016434 · Dermatology Physician · Salt Lake City, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matis Dermatology, PC is a Dermatology Physician organization in Salt Lake City, UT (NPI 1790016434).
Provider details
- NPI number
- 1790016434
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wendy Matis, Dermatologist(801) 521-0100
- License
- 185450-1205 (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
16 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
- 2010-01-20
- Last updated
- 2010-01-20
Frequently asked questions
- What is Matis Dermatology, PC's NPI number?
- Matis Dermatology, PC's National Provider Identifier (NPI) is 1790016434, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Matis Dermatology, PC?
- Matis Dermatology, PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Matis Dermatology, PC located?
- Matis Dermatology, PC's practice location on file with NPPES is 710 E 200 S, Salt Lake City, UT 84102-2265.
- What is Matis Dermatology, PC's phone number?
- The practice phone number listed in the NPPES registry for Matis Dermatology, PC is (801) 521-0100.
- Does Matis Dermatology, PC accept Medicare?
- Matis Dermatology, PC 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 Matis Dermatology, PC?
- The authorized official listed on Matis Dermatology, PC's NPPES record is Wendy Matis, Dermatologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Matis Dermatology, PC's NPI active?
- Yes — Matis Dermatology, PC's NPI (1790016434) is active in the NPPES registry as of the last update on 2010-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.