SPRINGVILLE DERMATOLOGY & DIAGNOSTICS PC
NPI 1992144364
Dermatology - Dermatopathology in Springville, UT
NPI Status: Active since June 19, 2013
Contact Information
732 N MAIN ST
SPRINGVILLE, UT
ZIP 84663
Phone: (801) 704-7001
Fax: (801) 210-7012
- Organization
- Dermatology
- Dermatopathology
- Accepts Insurance
- CLIA Number: 46D2033975
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-08-2026
About SPRINGVILLE DERMATOLOGY & DIAGNOSTICS PC
This page provides the complete NPI Profile along with additional information for Springville Dermatology & Diagnostics Pc, a provider established in Springville, Utah operating as a Dermatology, focusing in dermatopathology . The healthcare provider is registered in the NPI registry with number 1992144364 assigned on June 2013. The practitioner's primary taxonomy code is 207ND0900X with license number 72474631204 (UT). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Michael Warren Peterson Do (Owner/physician)
- NPI
- 1992144364
- Provider Name
- SPRINGVILLE DERMATOLOGY & DIAGNOSTICS PC
- Entity Type
- Organization
- Location Address
- 732 N MAIN ST SPRINGVILLE, UT 84663
- Location Phone
- (801) 704-7001
- Location Fax
- (801) 210-7012
- Mailing Address
- 732 N MAIN ST SPRINGVILLE, UT 84663
- Mailing Phone
- (801) 704-7001
- Mailing Fax
- (801) 210-7012
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-19-2013
- Last Update Date
- 06-18-2025
- Code Navigator
Location Map
Secondary Locations
- 1355 N University Ave Ste 160
Provo, UT 84604
(385) 475-2116 - 2326 N 400 E BLDG C Suite 202
Tooele, UT 84074
(435) 830-6110 - 2321 N 400 E Ste 200
Tooele, UT 84074
(435) 830-6110 - 1449 N 1400 W Ste 22
St George, UT 84770
(435) 703-9296 - 1355 N University Ave Ste 130
Provo, UT 84604
(385) 475-2116
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology Dermatopathology
- Taxonomy Code
- 207ND0900X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 72474631204
- License State
- UT
- Taxonomy Description
- A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - HMO
- BridgeSpan Standard Gold Plan - HMO
- BridgeSpan Standard Silver Plan - HMO
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Standard - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
- Molina Silver Saver with Four Free PCP Visits - HMO
- Molina Silver Standard - HMO
- Bronze 8000 - EPO
- Bronze Essential 9000 Deductible With 4 Copay No Deductible Office Visits - EPO
- Bronze HSA 7000 - EPO
- Gold 2300 - EPO
- Regence Standard Bronze 7500 - EPO
- Regence Standard Gold 2000 - EPO
- Regence Standard Silver 6000 - EPO
- Silver 6500 - EPO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay Office Visits - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay Office Visits - EPO
- Healthy Premier Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 46D2033975
- Facility Type
- Physician Office
- Certificate Effective Date
- July 09, 2024
- Certificate Expiration Date
- July 08, 2026
- Laboratory Director
- MICHAEL W. PETERSON DO
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Springville Dermatology & Diagnostics Pc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1992144364, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992144364, enumerated as an "organization" on June 19, 2013.
The provider is located at 732 N MAIN ST SPRINGVILLE, UT 84663 and the phone number is (801) 704-7001.
Dermatology with taxonomy code 207ND0900X and a focus in Dermatopathology.
The provider might be accepting Accepts: BridgeSpan Health Company, Molina Healthcare,. Please consult your insurance carrier or call the provider to verify.
