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DERMATOLOGY CENTER OF SALT LAKE INC.
NPI 1689635799
Specialist in Midvale, UT

Active since March 29, 2006
7396 UNION PARK AVE, #201, MIDVALE, UT 84047(801) 567-1400(801) 567-1777 Get Directions Write a Review

NPPES record last updated: April 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dermatology Center Of Salt Lake Inc. NPPES

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

DERMATOLOGY CENTER OF SALT LAKE INC. (NPI 1689635799) is a healthcare organization registered as a specialist in Midvale, Utah and active in the NPI registry since March 2006. The organization lists Joseph D Jensen, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1689635799
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDERMATOLOGY CENTER OF SALT LAKE INC.
Location Address7396 UNION PARK AVE, #201Midvale, UT 84047-6700
Mailing Address7396 Union Park Ave, #201Midvale, UT 84047-6700 · (801) 567-1400 · Fax (801) 567-1777
Phone(801) 567-1400
Fax(801) 567-1777
Organization SubpartNo
Authorized OfficialJoseph D JensenMd/owner · (801) 567-1400
Enumeration DateMarch 29, 2006
Last NPPES UpdateApril 15, 2019
✔ NPI 1689635799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in UT · 266561-1205
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
7396 UNION PARK AVE, Midvale, UT 84047
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Other Identifiers 4

Other107007222102Ihc
Medicaid528986681031UT
Other52898668108001UT · Blue Shield
OtherQM0000046926UT · Altius

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

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 46D0972534

Dermatology Center Of Salt Lake · Midvale, UT
Expired · Jul 17, 2026
CLIA Number46D0972534
Laboratory TypePhysician Office
Certificate Effective DateJuly 18, 2024
Certificate Expiration DateJuly 17, 2026
Laboratory DirectorJoseph D. Jensen MD
Laboratory Phone(801) 567-1400
Laboratory LocationDermatology Center Of Salt Lake7396 S Union Park Ave #201, Midvale, UT 84047
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 2

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

JOSEPH DEAN JENSEN MD
Specialist
7396 UNION PARK AVE, 201
MIDVALE, UT 84047
Salt Lake County (801) 567-1400
DR. BYRON SCOTT OKUBO DMD, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
7396 UNION PARK AVE, SUITE 202
MIDVALE, UT 84047
Salt Lake County (801) 561-9939

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 Center Of Salt Lake Inc.'s NPI number?

The NPI number for Dermatology Center Of Salt Lake Inc. is 1689635799. It was assigned to this organization in the NPPES registry on March 29, 2006.

Where is Dermatology Center Of Salt Lake Inc. located?

Dermatology Center Of Salt Lake Inc. is located at 7396 Union Park Ave #201, Midvale, UT 84047. The listed phone number is (801) 567-1400.

What is Dermatology Center Of Salt Lake Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Dermatology Center Of Salt Lake Inc. was last updated on April 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.