Pure Dermatology LLC
NPI 1902668171 · 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)
Pure Dermatology LLC is a Dermatology Physician organization in Salt Lake City, UT (NPI 1902668171).
Provider details
- NPI number
- 1902668171
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lea Hedstrom, Owner(801) 475-3090
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
2 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
- 2024-01-24
- Last updated
- 2024-01-24
- Certified
- 2024-01-24
Frequently asked questions
- What is Pure Dermatology LLC's NPI number?
- Pure Dermatology LLC's National Provider Identifier (NPI) is 1902668171, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pure Dermatology LLC?
- Pure Dermatology LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Pure Dermatology LLC located?
- Pure Dermatology LLC's practice location on file with NPPES is 466 E 500 S, Salt Lake City, UT 84111-3342.
- What is Pure Dermatology LLC's phone number?
- The practice phone number listed in the NPPES registry for Pure Dermatology LLC is (801) 475-3090.
- Does Pure Dermatology LLC accept Medicare?
- Pure Dermatology 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 Pure Dermatology LLC?
- The authorized official listed on Pure Dermatology LLC's NPPES record is Lea Hedstrom, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pure Dermatology LLC's NPI active?
- Yes — Pure Dermatology LLC's NPI (1902668171) is active in the NPPES registry as of the last update on 2024-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.