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ASPEN DERMATOLOGY PLLC
NPI 1407917107
Dermatology in Spanish Fork, UT

Active since December 13, 2006CLIA Certified · 2 labs
114 E 800 N, SPANISH FORK, UT 84660(801) 794-1490(801) 794-1495 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Aspen Dermatology Pllc NPPES

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

ASPEN DERMATOLOGY PLLC (NPI 1407917107) is a healthcare organization registered as a dermatology in Spanish Fork, Utah and active in the NPI registry since December 2006. The organization holds 2 active CLIA laboratory certificates and lists Warren A Peterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1407917107
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameASPEN DERMATOLOGY PLLC
Location Address114 E 800 NSpanish Fork, UT 84660-1209
Mailing Address114 E 800 NSpanish Fork, UT 84660-1209 · (801) 794-1490 · Fax (801) 794-1495
Phone(801) 794-1490
Fax(801) 794-1495
Organization SubpartNo
Authorized OfficialWarren A PetersonOwner · (801) 794-1490
Enumeration DateDecember 13, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1407917107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in UT · 179077-1204
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.
114 E 800 N, Spanish Fork, UT 84660
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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 BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

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 46D0954867

Aspen Dermatology · Spanish Fork, UT
Active · expires May 13, 2027
CLIA Number46D0954867
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2025
Certificate Expiration DateMay 13, 2027
Laboratory DirectorChad R. Peterson
Laboratory Phone(801) 794-1490
Laboratory LocationAspen Dermatology114 E 800 N, Spanish Fork, UT 84660
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.

Certificate of Compliance 46D2082640

Aspen Dermatology · Price, UT
Active · expires Jun 15, 2027
CLIA Number46D2082640
Laboratory TypePhysician Office
Certificate Effective DateJune 16, 2025
Certificate Expiration DateJune 15, 2027
Laboratory DirectorChad R. Peterson
Laboratory Phone(801) 794-1490
Laboratory LocationAspen Dermatology945 W Hospital Drive, Suite #4, Price, UT 84501
CLIA data matches this NPI record on: 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.

Certificate of Compliance 46D2137205

Aspen Dermatology · Payson, UT
Expired · Jul 31, 2026
CLIA Number46D2137205
Laboratory TypePhysician Office
Certificate Effective DateMarch 28, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorChad R. Peterson
Laboratory Phone(801) 794-1490
Laboratory LocationAspen Dermatology753 S 1040 W, Payson, UT 84651
CLIA data matches this NPI record on: 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 5

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

DR. MICHAEL P EYRE
Dermatology (MOHS-Micrographic Surgery)
114 E 800 N
SPANISH FORK, UT 84660
Utah County (801) 794-1490
WARREN PETERSON, DO PC
Dermatology
114 E 800 N
SPANISH FORK, UT 84660
Utah County (801) 794-1490
LINDSEY ANN CASTLEBERRY PA-C
Physician Assistant
114 E 800 N
SPANISH FORK, UT 84660
Utah County (801) 318-1168
SHANNON SMALLEY
Specialist
114 E 800 N
SPANISH FORK, UT 84660
Utah County (801) 794-1490
DR. CHAD PETERSON D.O.
Dermatology (MOHS-Micrographic Surgery)
114 E 800 N
SPANISH FORK, UT 84660
Utah County (801) 794-1490

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 Aspen Dermatology PLLC's NPI number?

The NPI number for Aspen Dermatology PLLC is 1407917107. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Aspen Dermatology PLLC located?

Aspen Dermatology PLLC is located at 114 E 800 N, Spanish Fork, UT 84660. The listed phone number is (801) 794-1490.

What is Aspen Dermatology PLLC's specialty?

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

Does Aspen Dermatology PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Aspen Dermatology PLLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Aspen Dermatology PLLC 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 Aspen Dermatology PLLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.