Organization Active NPI

Robert B Topham

  • Dermatology Physician
  • Holladay, UT
National Provider Identifier
1124679949
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ROBERT B TOPHAM
Practice address
1775 E 4500 S
Holladay, UT 84117-4257
Phone
(801) 272-4408
Fax
(801) 272-4441
NPI assigned
Sep 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Robyn Topham
Title
Admin/Manager
Phone
(801) 272-4408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

1775 E 4500 S
Holladay, UT 84117-4257

Mailing address

1775 E 4500 S
Holladay, UT 84117-4257
Phone (801) 272-4408

Other identifiers 1

IdentifierTypeStateIssuer
1144290479OtherINDIVIDUAL NPI

Other names 1

  • Holladay Dermatology & Aesthetics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2270229Holladay Dermatology & Aesthetics1775 E 4500 S, Holladay, UT 84117Certificate of waiverOct 11, 2026

National Provider Directory

National Provider Directory

Locations

1775 E 4500 S
Millcreek, UT 84117
Phone (801) 272-4408

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1124679949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 E 4500 S",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841174257",
            "telephone_number": "801-272-4408",
            "fax_number": "801-272-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 E 4500 S",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841174257",
            "telephone_number": "801-272-4408",
            "fax_number": "801-272-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B TOPHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-23",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "TOPHAM",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "ADMIN/MANAGER",
        "authorized_official_telephone_number": "801-272-4408"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1144290479",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holladay Dermatology & Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holladay, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.