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LANDMARK MEDICAL OF UTAH, PC
NPI 1295455236
General Practice in Draper, UT

Active since August 30, 2022
12921 S VISTA STATION BLVD, DRAPER, UT 84020(657) 400-5180 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Landmark Medical Of Utah, Pc NPPES

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

LANDMARK MEDICAL OF UTAH, PC (NPI 1295455236) is a healthcare organization registered as a general practice in Draper, Utah and active in the NPI registry since August 2022. The organization lists Christopher Dennis, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1295455236
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLANDMARK MEDICAL OF UTAH, PC
Location Address12921 S VISTA STATION BLVDDraper, UT 84020-2376
Mailing Address7755 Center Ave Ste 630Huntington Beach, CA 92647-9152
Phone(657) 400-5180
Organization SubpartNo
Authorized OfficialChristopher DennisChief Medical Officer · (657) 400-5180
Enumeration DateAugust 30, 2022
Last NPPES UpdateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
✔ NPI 1295455236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
12921 S VISTA STATION BLVD, Draper, UT 84020
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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 3

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

TILLIE BORRELLI DNP
Nurse Practitioner (Family)
12921 S VISTA STATION BLVD
DRAPER, UT 84020
Salt Lake County (801) 823-5811
NICOLE MARIE GREENE APRN
Nurse Practitioner (Gerontology)
12921 S VISTA STATION BLVD
DRAPER, UT 84020
Salt Lake County (435) 354-9746
DIEGO HUGO GONZALEZ FNP-C
Nurse Practitioner (Family)
12921 S VISTA STATION BLVD
DRAPER, UT 84020
Salt Lake County (801) 687-1020

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 Landmark Medical Of Utah, PC's NPI number?

The NPI number for Landmark Medical Of Utah, PC is 1295455236. It was assigned to this organization in the NPPES registry on August 30, 2022.

Where is Landmark Medical Of Utah, PC located?

Landmark Medical Of Utah, PC is located at 12921 S Vista Station Blvd, Draper, UT 84020. The listed phone number is (657) 400-5180.

What is Landmark Medical Of Utah, PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Landmark Medical Of Utah, PC was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.