PURE DERMATOLOGY LLC – NPI #1902668171
Dermatology

PURE DERMATOLOGY LLC is a dermatologist located in SALT LAKE CITY, UT. NPPES recently assigned the NPI number 1902668171 to PURE DERMATOLOGY LLC on January 24, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PURE DERMATOLOGY LLC below.

NPI Profile for
PURE DERMATOLOGY LLC

NPI Number
1902668171
Created

(about 6 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PURE DERMATOLOGY LLC
Primary location
466 E 500 S
SALT LAKE CITY, UT 84111-3342
Phone: (801) 475-3090 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LEA HEDSTROM
OWNER
Phone: (801) 475-3090
Updated
Certification Date
Jan 24, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207N00000X
- Dermatology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.