Individual provider Active NPI

Audrey Dean, M.D.

  • Dermatology Physician
  • Salt Lake City, UT
National Provider Identifier
1053765784
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
13785870-1205 Issued in UT
Practice address
4252 S Highland Dr Ste 200
Salt Lake City, UT 84124-2690
Phone
(801) 262-3600
Fax
(801) 262-3659
NPI assigned
Apr 19, 2016
Last updated
May 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 13785870-1205 UT Primary

Addresses

Primary practice location

4252 S Highland Dr Ste 200
Salt Lake City, UT 84124-2690

Mailing address

4252 S Highland Dr Ste 200
Salt Lake City, UT 84124-2690
Phone (801) 262-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201111000873 PA Practitioner - Dermatology 5799070074 Reassigns benefits to 2 organizations
I20240813004113 UT Practitioner - Dermatology 5799070074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivan D Flint MD PCGroup PAC ID 9830128222, 3 clinicians

Practice addresses (Care Compare)

1250 E 3900 S
Suite 450
Salt Lake Cty, UT 84124-1349
Phone (801) 262-3600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision44
Removal of tissue1-10
Removal of skin lesions517
Removal or shaving of skin growth75
Skin biopsy360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Pediatrics CurrentSince Jan 4, 2021 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
Ivan D Flint MD PC CurrentSince Jun 26, 2024 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Dec 5, 2020 Accepting new patients
Geisinger Clinic CurrentSince Jan 4, 2021 Accepting new patients
Geisinger-HM Joint Venture, LLC Pediatrics CurrentSince Dec 5, 2020 Accepting new patients

Locations

16 Woodbine Ln
Danville, PA 17821
Phone (570) 271-6531

100 N Academy Ave
Danville, PA 17822

955 Bellefonte Ave
Lock Haven, PA 17745
Phone (570) 748-7714

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

1250 E 3900 S
Ste 450
Slc, UT 84124
Phone (801) 262-3600

Networks

  • UT PPO
  • UT PPO D-SNP

Interoperability endpoints

  • Direct secure messaging: adean@ivanflintdermatology.emadirect.md
  • Direct secure messaging: audrey.dean.1@16923.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1053765784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4252 S HIGHLAND DR STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841242690",
            "telephone_number": "801-262-3600",
            "fax_number": "801-262-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4252 S HIGHLAND DR STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841242690",
            "telephone_number": "801-262-3600",
            "fax_number": "801-262-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "AUDREY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "13785870-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.