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SPRINGVILLE DERMATOLOGY & DIAGNOSTICS PC
NPI 1992144364
Dermatology - Dermatopathology in Springville, UT

Active since June 19, 2013
732 N MAIN ST, SPRINGVILLE, UT 84663(801) 704-7001(801) 210-7012 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2025, Nov 4, 2016 (2 updates tracked since 2016).

About Springville Dermatology & Diagnostics Pc NPPES

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

SPRINGVILLE DERMATOLOGY & DIAGNOSTICS PC (NPI 1992144364) is a healthcare organization registered as a dermatopathology in Springville, Utah and active in the NPI registry since June 2013. The organization maintains 5 additional practice locations and lists Michael Warren Peterson, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1992144364
Entity TypeOrganization
Primary Taxonomy207ND0900X
Legal Business NameSPRINGVILLE DERMATOLOGY & DIAGNOSTICS PC
Location Address732 N MAIN STSpringville, UT 84663-1034
Mailing Address732 N Main StSpringville, UT 84663-1034 · (801) 704-7001 · Fax (801) 210-7012
Phone(801) 704-7001
Fax(801) 210-7012
Organization SubpartNo
Authorized OfficialMichael Warren PetersonOwner/physician · (801) 704-7001
Enumeration DateJune 19, 2013
Last NPPES UpdateJune 18, 20252 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1992144364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
License✔ Licensed in UT · 72474631204
Definition
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.
732 N MAIN ST, Springville, UT 84663
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Secondary Practice Locations 5

Location 12321 N 400 E Ste 200Tooele, UT 84074-3440 · Phone (435) 830-6110 · Fax (435) 228-6769
Location 22326 N 400 E, BLDG C Suite 202Tooele, UT 84074 · Phone (435) 830-6110 · Fax (435) 228-6769
Location 31449 N 1400 W Ste 22St George, UT 84770-5237 · Phone (435) 703-9296 · Fax (435) 215-4075
Location 41355 N University Ave Ste 130Provo, UT 84604-2721 · Phone (385) 475-2116 · Fax (801) 210-7012
Location 51355 N University Ave Ste 160Provo, UT 84604-2723 · Phone (385) 475-2116 · Fax (801) 210-7012

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 and more.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 46D2033975

Springville Dermatology And Diagnostics · Springville, UT
Expired · Jul 8, 2026
CLIA Number46D2033975
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2024
Certificate Expiration DateJuly 8, 2026
Laboratory DirectorMichael W. Peterson Do
Laboratory Phone(801) 704-7001
Laboratory LocationSpringville Dermatology And Diagnostics732 N Main Street, Springville, UT 84663
CLIA data matches this NPI record on: Address 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

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

ASPEN DERMATOPATHOLOGY
Clinical Medical Laboratory
732 N MAIN ST
SPRINGVILLE, UT 84663
Utah County (801) 210-8989

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 Springville Dermatology & Diagnostics PC's NPI number?

The NPI number for Springville Dermatology & Diagnostics PC is 1992144364. It was assigned to this organization in the NPPES registry on June 19, 2013.

Where is Springville Dermatology & Diagnostics PC located?

Springville Dermatology & Diagnostics PC is located at 732 N Main St, Springville, UT 84663. The listed phone number is (801) 704-7001.

What is Springville Dermatology & Diagnostics PC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

What insurance does Springville Dermatology & Diagnostics PC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Springville Dermatology & Diagnostics PC 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 Springville Dermatology & Diagnostics PC was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.