Garlick Plastic Surgery PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

GARLICK PLASTIC SURGERY PLLC

Practice address

11762 S State St Ste 345
Draper, UT 84020-7173

Phone

(801) 932-8736

Fax

(800) 962-2401

NPI assigned

Jun 5, 2025

Organization subpart

No

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

Authorized official

Name

Jared GarlickNPI 1730509613

Title

Owner

Phone

(435) 262-0329

Specialties & licenses 1

Addresses

Other names 1

• Modern Contour Plastic Surgery Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jared Garlick, MD

  • Plastic Surgery Physician
  • Draper, UT
  • NPI 1730509613
  NPD Authorized official

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1104710953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11762 S STATE ST STE 345",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207173",
            "telephone_number": "801-932-8736",
            "fax_number": "800-962-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11762 S STATE ST STE 345",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207173",
            "telephone_number": "801-932-8736",
            "fax_number": "800-962-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARLICK PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "GARLICK",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-262-0329"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Contour Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Xayelyh Garcia
• Richard M Garden, MD
• Cynthia Gardner
• Joseph Arch Gardner
• Shelby Gardner
• Jared Garlick, MD
• Gateway Academy LLC Draper
• Gateway Academy, LLC
• Gathering Ground Therapy PLLC
• Todd Gay, PA-C

• Plastic Surgery Physician in Draper, UT
• Providers in Draper, UT by specialty
• Plastic Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.