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DRAPER DERMATOLOGY, P.C.
NPI 1093224818
Dermatology in South Jordan, UT

Active since September 25, 2017CLIA Certified · 2 labs
1325 W SOUTH JORDAN PKWY STE 103, SOUTH JORDAN, UT 84095(801) 232-6556(801) 987-8467 Get Directions Write a Review

NPPES record last updated: February 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 8, 2020, Nov 25, 2019, Oct 4, 2019 and 2 more (5 updates tracked since 2018).

About Draper Dermatology, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DRAPER DERMATOLOGY, P.C. (NPI 1093224818) is a healthcare organization registered as a dermatology in South Jordan, Utah and active in the NPI registry since September 2017. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Evanston, and lists Ryan Cooksey, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1093224818
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDRAPER DERMATOLOGY, P.C.
Location Address1325 W SOUTH JORDAN PKWY STE 103South Jordan, UT 84095-9060
Mailing Address1325 W South Jordan Pkwy Ste 103South Jordan, UT 84095-9060 · (801) 232-6556 · Fax (801) 987-8467
Phone(801) 232-6556
Fax(801) 987-8467
Organization SubpartNo
Authorized OfficialRyan CookseyPractice Manager · (801) 232-6556
Enumeration DateSeptember 25, 2017
Last NPPES UpdateFebruary 8, 20205 updates tracked since enumeration
✔ NPI 1093224818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in UT · 177611-1205
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1325 W SOUTH JORDAN PKWY STE 103, South Jordan, UT 84095
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Secondary Practice Location 1

Location 1190 Arrowhead DrEvanston, WY 82930-9266 · Phone (801) 232-6556 · Fax (801) 987-8467

Other Identifiers 1

Medicaid1093224818UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 46D2142280

Draper Dermatology · South Jordan, UT
Active · expires Sep 4, 2026
CLIA Number46D2142280
Laboratory TypePhysician Office
Certificate Effective DateSeptember 5, 2024
Certificate Expiration DateSeptember 4, 2026
Laboratory DirectorLarry E. Urry
Laboratory Phone(801) 232-6556
Laboratory LocationDraper Dermatology1325 W South Jordan Parkway, Suite 103, South Jordan, UT 84095
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 53D2315436

Draper Dermatology · Evanston, WY
Active · expires Dec 11, 2026
CLIA Number53D2315436
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorHeather Allred
Laboratory Phone(801) 232-6556
Laboratory LocationDraper Dermatology195 Feather Way, Suite 100, Evanston, WY 82930
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LARRY E URRY M.D.
Dermatology
1325 W SOUTH JORDAN PKWY STE 103
SOUTH JORDAN, UT 84095
Salt Lake County (801) 232-6556
BARBARA JOELLE OVERBY DMSC, PA-C
Physician Assistant (Medical)
1325 W SOUTH JORDAN PKWY STE 103
SOUTH JORDAN, UT 84095
Salt Lake County (801) 232-6556
PAIGE NELSON PA-C
Physician Assistant
1325 W SOUTH JORDAN PKWY STE 103
SOUTH JORDAN, UT 84095
Salt Lake County (801) 232-6556

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Draper Dermatology, P.C.'s NPI number?

The NPI number for Draper Dermatology, P.C. is 1093224818. It was assigned to this organization in the NPPES registry on September 25, 2017.

Where is Draper Dermatology, P.C. located?

Draper Dermatology, P.C. is located at 1325 W South Jordan Pkwy Ste 103, South Jordan, UT 84095. The listed phone number is (801) 232-6556.

What is Draper Dermatology, P.C.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Draper Dermatology, P.C. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Draper Dermatology, P.C. accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Draper Dermatology, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Draper Dermatology, P.C. was last updated on February 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.