1. Home
  2. Directory
  3. Utah
  4. Park City
  5. Dermatology
  6. NPI Profile

PARK CITY DERMATOLOGY
NPI 1316095722
Dermatology in Park City, UT

Active since January 08, 2007CLIA 05D0692505 · Microscopy
1790 SUN PEAK DR STE A103, PARK CITY, UT 84098(435) 658-1013(435) 658-3513 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Mar 7, 2023, Jun 16, 2018, May 14, 2018 (3 updates tracked since 2018).

About Park City Dermatology NPPES

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

PARK CITY DERMATOLOGY (NPI 1316095722) is a healthcare organization registered as a dermatology in Park City, Utah and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through May 31, 2028, maintains a secondary practice location in Park City, and lists Steven Mark Kern, President, as its authorized official.

NPPES Registry Identity

NPI1316095722
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePARK CITY DERMATOLOGY. CO
Location Address1790 SUN PEAK DR STE A103Park City, UT 84098
Mailing Address1790 Sun Peak Dr Ste A103Park City, UT 84098-6625 · (435) 658-1013 · Fax (435) 658-3513
Phone(435) 658-1013
Fax(435) 658-3513
Organization SubpartYes
Authorized OfficialSteven Mark KernPresident · (435) 658-1013
Enumeration DateJanuary 8, 2007
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
✔ NPI 1316095722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in UT · 3673151205
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.
1790 SUN PEAK DR STE A103, Park City, UT 84098
Open in Google Maps ↗

Other Names 2

Doing Business AsPark City Dermatology
Former Legal Business NameCenter For Cosmetic Dermatology

Secondary Practice Location 1

Location 12700 Homestead Rd, Suite 30Park City, UT 84098-4857 · Phone (435) 658-1013 · Fax (435) 658-3513

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.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 for Provider-Performed Microscopy Procedures (PPMP) 05D0692505

Park City Dermatology Associates · Park City, UT
Active · expires May 31, 2028
CLIA Number05D0692505
Laboratory TypePractitioner Other
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorKaren R. Stolman
Laboratory Phone(435) 658-1013
Laboratory LocationPark City Dermatology Associates1790 Sun Peak Drive Suite A103, Park City, UT 84098
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.

DR. STEVEN MARK KERN M.D.
Dermatology
1790 SUN PEAK DR STE A103
PARK CITY, UT 84098
Summit County (435) 658-1013
KAREN STOLMAN MD PC
Dermatology
1790 SUN PEAK DR STE A103
PARK CITY, UT 84098
Summit County (435) 658-1013
KAREN R STOLMAN MD
Dermatology
1790 SUN PEAK DR STE A103
PARK CITY, UT 84098
Summit County (435) 658-1013

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 Park City Dermatology. Co's NPI number?

The NPI number for Park City Dermatology. Co is 1316095722. It was assigned to this organization in the NPPES registry on January 8, 2007. The provider is doing business as Park City Dermatology. The provider was formerly known as Center For Cosmetic Dermatology.

Where is Park City Dermatology. Co located?

Park City Dermatology. Co is located at 1790 Sun Peak Dr Ste A103, Park City, UT 84098. The listed phone number is (435) 658-1013.

What is Park City Dermatology. Co's specialty?

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

Does Park City Dermatology. Co hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0692505) is associated with this NPI, valid through May 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Park City Dermatology. Co accept?

Health plans from Molina Healthcare list Park City Dermatology. Co 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 Park City Dermatology. Co was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.