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JORDAN LANDING CLINIC
NPI 1235158304
Family Medicine in West Jordan, UT

Active since July 19, 2006CLIA 46D1015256 · Microscopy
3895 W 7800 S STE 100, WEST JORDAN, UT 84088(801) 280-7774(801) 280-7774 Get Directions Write a Review

NPPES record last updated: June 12, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jordan Landing Clinic NPPES

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

JORDAN LANDING CLINIC (NPI 1235158304) is a healthcare organization registered as a family medicine in West Jordan, Utah and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through July 27, 2027 and lists Brenten C Pugh, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235158304
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBRENTEN C PUGH, MD
Location Address3895 W 7800 S STE 100West Jordan, UT 84088-5616
Mailing Address3895 W 7800 S Ste 100West Jordan, UT 84088-5616 · (801) 280-7774 · Fax (801) 280-7774
Phone(801) 280-7774
Fax(801) 280-7774
Organization SubpartNo
Authorized OfficialBrenten C PughCeo · (801) 280-7774
Enumeration DateJuly 19, 2006
Last NPPES UpdateJune 12, 2013
✔ NPI 1235158304 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.
3895 W 7800 S STE 100, West Jordan, UT 84088
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Other Names 1

Doing Business AsJordan Landing Clinic

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

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 46D1015256

Jordan Landing Clinic, LLC · West Jordan, UT
Active · expires Jul 27, 2027
CLIA Number46D1015256
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorBrenten Pugh MD
Laboratory Phone(801) 280-7774
Laboratory LocationJordan Landing Clinic, LLC3895 West 7800 South, Suite 100, West Jordan, UT 84088
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

KARTY DORMERA
Nurse Practitioner (Primary Care)
3895 W 7800 S STE 100
WEST JORDAN, UT 84088
Salt Lake County (801) 280-7774
CRISSI LEIANN WILLARDSON PA-C
Physician Assistant
3895 W 7800 S STE 100
WEST JORDAN, UT 84088
Salt Lake County (801) 309-6048
DANIEL WILLIAM HILL NP-C, APRN
Nurse Practitioner (Family)
3895 W 7800 S STE 100
WEST JORDAN, UT 84088
Salt Lake County (801) 748-2790

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 Brenten C Pugh, MD's NPI number?

The NPI number for Brenten C Pugh, MD is 1235158304. It was assigned to this organization in the NPPES registry on July 19, 2006. The provider is doing business as Jordan Landing Clinic.

Where is Brenten C Pugh, MD located?

Brenten C Pugh, MD is located at 3895 W 7800 S Ste 100, West Jordan, UT 84088. The listed phone number is (801) 280-7774.

What is Brenten C Pugh, MD's specialty?

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

Does Brenten C Pugh, MD hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 46D1015256) is associated with this NPI, valid through July 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brenten C Pugh, MD was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.