1. Home
  2. Directory
  3. Utah
  4. West Jordan
  5. Dermatology
  6. NPI Profile

JORDAN VALLEY DERMATOLOGY CENTER LLC
NPI 1558766477
Dermatology in West Jordan, UT

Active since November 04, 2014CLIA 46D0685802 · Certificate of Compliance
3570 W 9000 S, WEST JORDAN, UT 84088(801) 569-1456(801) 565-7931 Get Directions Write a Review

NPPES record last updated: November 4, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jordan Valley Dermatology Center Llc NPPES

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

JORDAN VALLEY DERMATOLOGY CENTER LLC (NPI 1558766477) is a healthcare organization registered as a dermatology in West Jordan, Utah and active in the NPI registry since November 2014. The organization holds a CLIA Certificate of Compliance certificate valid through December 7, 2027 and lists Wesley R Brown, Owner, as its authorized official.

NPPES Registry Identity

NPI1558766477
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameJORDAN VALLEY DERMATOLOGY CENTER LLC
Location Address3570 W 9000 SWest Jordan, UT 84088-8869
Mailing Address3570 W 9000 SWest Jordan, UT 84088-8869 · (801) 569-1456 · Fax (801) 565-7931
Phone(801) 569-1456
Fax(801) 565-7931
Organization SubpartNo
Authorized OfficialWesley R BrownOwner · (801) 569-1456
Enumeration DateNovember 4, 2014
✔ NPI 1558766477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in UT · 1756931205
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.
3570 W 9000 S, West Jordan, UT 84088
Open in Google Maps ↗

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.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 Compliance 46D0685802

Jordan Valley Dermatology Center · South Jordan, UT
Active · expires Dec 7, 2027
CLIA Number46D0685802
Laboratory TypePhysician Office
Certificate Effective DateDecember 8, 2025
Certificate Expiration DateDecember 7, 2027
Laboratory DirectorHu Ding
Laboratory Phone(801) 569-1456
Laboratory LocationJordan Valley Dermatology Center10654 S River Heights Drive, Suite 210, South Jordan, UT 84095
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 16

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

FRANCES BECHEK M.D.
Obstetrics & Gynecology
3570 W 9000 S, #210
WEST JORDAN, UT 84088
Salt Lake County (801) 569-2626
BARI MICHELLE KING F.N.P.
Nurse Practitioner (Family)
3570 W 9000 S, SUITE, 100
WEST JORDAN, UT 84088
Salt Lake County (801) 569-1999
JACOLIN DEHLER SHIFRAR CNM
Advanced Practice Midwife
3570 W 9000 S, #210
WEST JORDAN, UT 84088
Salt Lake County (801) 569-2626
MARIA A ONEIDA M.D.
Family Medicine
3570 W 9000 S, STE 200
WEST JORDAN, UT 84088
Salt Lake County (801) 566-9211
SOUTH VALLEY WOMEN'S IMAGING, LLC
Specialist
3570 W 9000 S, #130
WEST JORDAN, UT 84088
Salt Lake County (801) 569-2626
MARIA C RUGAMAS CFA
Specialist/Technologist, Other (Surgical Assistant)
3570 W 9000 S, SUITE 210
WEST JORDAN, UT 84088
Salt Lake County (801) 569-5328
ARLEN K JARRETT MD
Specialist
3570 W 9000 S, #210
WEST JORDAN, UT 84088
Salt Lake County (801) 569-2626
JORDAN VALLEY FAMILY HEALTH
Family Medicine
3570 W 9000 S, SUITE #100
WEST JORDAN, UT 84088
Salt Lake County (801) 569-1999

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 Jordan Valley Dermatology Center LLC's NPI number?

The NPI number for Jordan Valley Dermatology Center LLC is 1558766477. It was assigned to this organization in the NPPES registry on November 4, 2014.

Where is Jordan Valley Dermatology Center LLC located?

Jordan Valley Dermatology Center LLC is located at 3570 W 9000 S, West Jordan, UT 84088. The listed phone number is (801) 569-1456.

What is Jordan Valley Dermatology Center LLC's specialty?

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

Does Jordan Valley Dermatology Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 46D0685802) is associated with this NPI, valid through December 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jordan Valley Dermatology Center LLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare and Regence BlueCross BlueShield of Utah list Jordan Valley Dermatology Center 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 Jordan Valley Dermatology Center LLC was last updated on November 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.