MATIS DERMATOLOGY, PC
NPI 1790016434
Dermatology in Salt Lake City, UT

Active since January 20, 2010
710 E 200 S, SALT LAKE CITY, UT 84102(801) 521-0100(801) 521-5227 Get Directions Write a Review

NPPES record last updated: January 20, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Matis Dermatology, Pc NPPES

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

MATIS DERMATOLOGY, PC (NPI 1790016434) is a healthcare organization registered as a dermatology in Salt Lake City, Utah and active in the NPI registry since January 2010. The organization lists Wendy Matis, Dermatologist, as its authorized official.

NPPES Registry Identity

NPI1790016434
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMATIS DERMATOLOGY, PC
Location Address710 E 200 SSalt Lake City, UT 84102-2265
Mailing AddressPo Box 9697Salt Lake City, UT 84109-9697 · (801) 521-0100 · Fax (801) 521-5227
Fax(801) 521-5227
Organization SubpartNo
Authorized OfficialWendy MatisDermatologist · (801) 521-0100
Enumeration DateJanuary 20, 2010
✔ NPI 1790016434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in UT · 185450-1205
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.
710 E 200 S, Salt Lake City, UT 84102

Other Identifiers 1

Medicare PIN4011956UT

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matis Dermatology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Matis Dermatology, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1407851595
710 E 200 S STE 1B
Salt Lake City, UT 84102
(801) 521-0100
✔ PECOS0.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Matis Dermatology, PC's NPI number?

The NPI number for Matis Dermatology, PC is 1790016434. It was assigned to this organization in the NPPES registry on January 20, 2010.

Where is Matis Dermatology, PC located?

Matis Dermatology, PC is located at 710 E 200 S, Salt Lake City, UT 84102. The listed phone number is (801) 521-0100.

What is Matis Dermatology, PC's specialty?

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

Is Matis Dermatology, PC enrolled in Medicare?

Yes. Matis Dermatology, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Matis Dermatology, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Matis Dermatology, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Matis Dermatology, PC was last updated on January 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.