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UTAH PODIATRY GROUP LLC
NPI 1205569100
Podiatrist - Foot & Ankle Surgery in Park City, UT

Active since July 07, 2022
1840 SUN PEAK DR, PARK CITY, UT 84098(801) 505-5277(801) 505-5280 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Utah Podiatry Group Llc NPPES

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

UTAH PODIATRY GROUP LLC (NPI 1205569100), doing business as Advanced Foot And Ankle Center, is a healthcare organization registered as a foot & ankle surgery in Park City, Utah and active in the NPI registry since July 2022. The organization lists Scott A Clark, Dpm, as its authorized official.

NPPES Registry Identity

NPI1205569100
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameUTAH PODIATRY GROUP LLC
Location Address1840 SUN PEAK DRPark City, UT 84098-6732
Mailing AddressPo Box 849795Los Angeles, CA 90084-9795 · (801) 505-5277 · Fax (801) 505-5280
Phone(801) 505-5277
Fax(801) 505-5280
Organization SubpartYes
Authorized OfficialScott A ClarkDpm · (801) 505-5277
Enumeration DateJuly 7, 2022
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
✔ NPI 1205569100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Also ListedPodiatristTaxonomy 213E00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1840 SUN PEAK DR, Park City, UT 84098
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Other Names 1

Former Legal Business NameAdvanced Foot And Ankle Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. KENT MAX JOHNSON DDS
Dentist (General Practice)
1840 SUN PEAK DR
PARK CITY, UT 84098
Summit County (435) 658-0678

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 Utah Podiatry Group LLC's NPI number?

The NPI number for Utah Podiatry Group LLC is 1205569100. It was assigned to this organization in the NPPES registry on July 7, 2022. The provider was formerly known as Advanced Foot And Ankle Center.

Where is Utah Podiatry Group LLC located?

Utah Podiatry Group LLC is located at 1840 Sun Peak Dr, Park City, UT 84098. The listed phone number is (801) 505-5277.

What is Utah Podiatry Group LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Utah Podiatry Group LLC was last updated on October 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.