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DERMATOLOGY WEST LLC
NPI 1306635818
Dermatology in Farr West, UT

Active since May 01, 2025CLIA 46D2324338 · Waiver
1741 N 2000 W STE 3, FARR WEST, UT 84404(801) 917-6177(801) 917-5688 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dermatology West Llc NPPES

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

DERMATOLOGY WEST LLC (NPI 1306635818) is a healthcare organization registered as a dermatology in Farr West, Utah and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through May 21, 2027 and lists Tyler Jordan Mckinnon, Owner, as its authorized official.

NPPES Registry Identity

NPI1306635818
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY WEST LLC
Location Address1741 N 2000 W STE 3Farr West, UT 84404-9811
Mailing Address1741 N 2000 W Ste 3Farr West, UT 84404-9811 · (801) 917-6177 · Fax (801) 917-5688
Phone(801) 917-6177
Fax(801) 917-5688
Organization SubpartNo
Authorized OfficialTyler Jordan MckinnonOwner · (801) 866-6753
Enumeration DateMay 1, 2025
NPPES CertifiedMay 1, 2025
✔ NPI 1306635818 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.
1741 N 2000 W STE 3, Farr West, UT 84404
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.Insurance ›

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 Waiver 46D2324338

Dermatology West · Farr West, UT
Active · expires May 21, 2027
CLIA Number46D2324338
Laboratory TypePractitioner Other
Certificate Effective DateMay 22, 2025
Certificate Expiration DateMay 21, 2027
Laboratory DirectorTyler J. Mckinnon
Laboratory Phone(801) 866-6753
Laboratory LocationDermatology West1741 N 2000 W, Suite #3, Farr West, UT 84404
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

TYLER JORDAN MCKINNON PA-C
Physician Assistant
1741 N 2000 W STE 3
FARR WEST, UT 84404
Weber County (801) 917-6177

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 Dermatology West LLC's NPI number?

The NPI number for Dermatology West LLC is 1306635818. It was assigned to this organization in the NPPES registry on May 1, 2025.

Where is Dermatology West LLC located?

Dermatology West LLC is located at 1741 N 2000 W Ste 3, Farr West, UT 84404. The listed phone number is (801) 917-6177.

What is Dermatology West LLC's specialty?

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

Does Dermatology West LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2324338) is associated with this NPI, valid through May 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dermatology West LLC accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Dermatology West LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dermatology West LLC was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.