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PURE DERMATOLOGY LLC
NPI 1902668171
Dermatology in Salt Lake City, UT

Active since January 24, 2024CLIA 46D2303706 · Waiver
466 E 500 S, SALT LAKE CITY, UT 84111(801) 475-3090 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pure Dermatology Llc NPPES

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

PURE DERMATOLOGY LLC (NPI 1902668171) is a healthcare organization registered as a dermatology in Salt Lake City, Utah and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through April 29, 2028 and lists Lea Hedstrom, Owner, as its authorized official.

NPPES Registry Identity

NPI1902668171
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePURE DERMATOLOGY LLC
Location Address466 E 500 SSalt Lake City, UT 84111-3342
Mailing Address466 E 500 SSalt Lake City, UT 84111-3342 · (801) 475-3090
Phone(801) 475-3090
Organization SubpartNo
Authorized OfficialLea HedstromOwner · (801) 475-3090
Enumeration DateJanuary 24, 2024
NPPES CertifiedJanuary 24, 2024
✔ NPI 1902668171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
466 E 500 S, Salt Lake City, UT 84111
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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, 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 Waiver 46D2303706

Pure Dermatology · Salt Lake City, UT
Active · expires Apr 29, 2028
CLIA Number46D2303706
Laboratory TypePractitioner Other
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorLea D. Hedstrom
Laboratory Phone(801) 870-5463
Laboratory LocationPure Dermatology466 E 500 S, Salt Lake City, UT 84111
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. REBEKAH PATTON DC
Chiropractor
466 E 500 S
SALT LAKE CITY, UT 84111
Salt Lake County (801) 363-0060
DR. NAVDEEP SINGH BRAR DC
Chiropractor
466 E 500 S
SALT LAKE CITY, UT 84111
Salt Lake County (801) 363-0060

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 Pure Dermatology LLC's NPI number?

The NPI number for Pure Dermatology LLC is 1902668171. It was assigned to this organization in the NPPES registry on January 24, 2024.

Where is Pure Dermatology LLC located?

Pure Dermatology LLC is located at 466 E 500 S, Salt Lake City, UT 84111. The listed phone number is (801) 475-3090.

What is Pure Dermatology LLC's specialty?

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

Does Pure Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2303706) is associated with this NPI, valid through April 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pure Dermatology LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Pure Dermatology 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 Pure Dermatology LLC was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.