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SUNDANCE DERMATOLOGY, LLC
NPI 1275404022
Dermatology in Mapleton, UT

Active since September 15, 2025CLIA 46D2344927 · Certificate of Compliance
768 S 1600 W STE B, MAPLETON, UT 84664(801) 477-6843 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2026, Sep 15, 2025 (2 updates tracked since 2025).

About Sundance Dermatology, Llc NPPES

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

SUNDANCE DERMATOLOGY, LLC (NPI 1275404022) is a healthcare organization registered as a dermatology in Mapleton, Utah and active in the NPI registry since September 2025. The organization holds a CLIA Certificate of Compliance certificate valid through June 1, 2028 and lists Eric Morgan Hanson, Founder, as its authorized official.

NPPES Registry Identity

NPI1275404022
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSUNDANCE DERMATOLOGY, LLC
Location Address768 S 1600 W STE BMapleton, UT 84664-4563
Mailing Address768 S 1600 W Ste BMapleton, UT 84664-4563 · (801) 477-6843 · Fax (801) 515-0509
Phone(801) 477-6843
Organization SubpartNo
Authorized OfficialEric Morgan HansonFounder · (801) 477-6843
Enumeration DateSeptember 15, 2025
Last NPPES UpdateJanuary 6, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1275404022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
768 S 1600 W STE B, Mapleton, UT 84664
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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 of Compliance 46D2344927

Sundance Dermatology, LLC · Mapleton, UT
Active · expires Jun 1, 2028
CLIA Number46D2344927
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2026
Certificate Expiration DateJune 1, 2028
Laboratory DirectorEric M. Hanson
Laboratory Phone(801) 477-6843
Laboratory LocationSundance Dermatology, LLC768 S 1600 W, Ste B, Mapleton, UT 84664
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.

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. ERIC MORGAN HANSON M.D.
Dermatology
768 S 1600 W STE B
MAPLETON, UT 84664
Utah County (801) 477-6843

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 Sundance Dermatology, LLC's NPI number?

The NPI number for Sundance Dermatology, LLC is 1275404022. It was assigned to this organization in the NPPES registry on September 15, 2025.

Where is Sundance Dermatology, LLC located?

Sundance Dermatology, LLC is located at 768 S 1600 W Ste B, Mapleton, UT 84664. The listed phone number is (801) 477-6843.

What is Sundance Dermatology, LLC's specialty?

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

Does Sundance Dermatology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 46D2344927) is associated with this NPI, valid through June 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sundance Dermatology, LLC was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.