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SHADOW MOUNTAIN FAMILY MEDICINE LLC
NPI 1225294697
Family Medicine in West Jordan, UT

Active since August 05, 2008
3855 W 7800 S, SUITE 100, WEST JORDAN, UT 84088(801) 282-5952(801) 282-5951 Get Directions Write a Review

NPPES record last updated: June 4, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shadow Mountain Family Medicine Llc NPPES

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

SHADOW MOUNTAIN FAMILY MEDICINE LLC (NPI 1225294697) is a healthcare organization registered as a family medicine in West Jordan, Utah and active in the NPI registry since August 2008. The organization lists David J. Kane, Vp, as its authorized official.

NPPES Registry Identity

NPI1225294697
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHADOW MOUNTAIN FAMILY MEDICINE LLC
Location Address3855 W 7800 S, SUITE 100West Jordan, UT 84088-5560
Mailing Address3855 W 7800 S, Suite 100West Jordan, UT 84088-5560 · (801) 282-5952 · Fax (801) 282-5951
Phone(801) 282-5952
Fax(801) 282-5951
Organization SubpartNo
Authorized OfficialDavid J. KaneVp · (801) 568-5999
Enumeration DateAugust 5, 2008
Last NPPES UpdateJune 4, 2009
✔ NPI 1225294697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3855 W 7800 S, West Jordan, UT 84088
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Other Identifiers 3

Medicaid1225294697UT
Medicare PIN000065081UT
Medicare PINDO5532

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 9

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

SALT LAKE RETINA, LLC
Ophthalmology (Retina Specialist)
3855 W 7800 S, SUITE 100
WEST JORDAN, UT 84088
Salt Lake County (801) 260-0034
WILLIAM H. WEBB D.D.S., P.C.
Dentist (General Practice)
3855 W 7800 S, SUITE 150
WEST JORDAN, UT 84088
Salt Lake County (801) 260-0530
DR. MICHAEL C TEW D.D.S.
Dentist (Pediatric Dentistry)
3855 W 7800 S, #200
WEST JORDAN, UT 84088
Salt Lake County (801) 282-1802
JOSHUA C HOLT DDS
Dentist (General Practice)
3855 W 7800 S, SUITE 250
WEST JORDAN, UT 84088
Salt Lake County (801) 282-5839
TOM C. ZIMMERMANN, D.D.S., P.C.
Dentist (General Practice)
3855 W 7800 S, SUITE 150
WEST JORDAN, UT 84088
Salt Lake County (801) 260-0530
ULTRASOUND SPECIALISTS, INC.
Clinic/Center (Radiology)
3855 W 7800 S, SUITE 100
WEST JORDAN, UT 84088
Salt Lake County (801) 280-6070
DR. TOM CHARLES ZIMMERMANN D.D.S.
Dentist (General Practice)
3855 W 7800 S, SUITE 150
WEST JORDAN, UT 84088
Salt Lake County (801) 260-0530
MR. WILLIAM H. WEBB D.D.S.
Dentist (General Practice)
3855 W 7800 S, SUITE 150
WEST JORDAN, UT 84088
Salt Lake County (801) 260-0530

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 Shadow Mountain Family Medicine LLC's NPI number?

The NPI number for Shadow Mountain Family Medicine LLC is 1225294697. It was assigned to this organization in the NPPES registry on August 5, 2008.

Where is Shadow Mountain Family Medicine LLC located?

Shadow Mountain Family Medicine LLC is located at 3855 W 7800 S Suite 100, West Jordan, UT 84088. The listed phone number is (801) 282-5952.

What is Shadow Mountain Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Shadow Mountain Family Medicine LLC was last updated on June 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.