Sundance Dermatology, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SUNDANCE DERMATOLOGY, LLC

Practice address

768 S 1600 W Ste B
Mapleton, UT 84664-4563

Phone

(801) 477-6843

NPI assigned

Sep 15, 2025

Last updated

Jan 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eric Morgan Hanson, MDNPI 1376526095

Title

Founder

Phone

(801) 477-6843

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Morgan Hanson, M.D.

  • Dermatology Physician
  • Mapleton, UT
  • NPI 1376526095
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1275404022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 S 1600 W STE B",
            "city": "MAPLETON",
            "state": "UT",
            "postal_code": "846644563",
            "telephone_number": "801-477-6843",
            "fax_number": "801-515-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 S 1600 W STE B",
            "city": "MAPLETON",
            "state": "UT",
            "postal_code": "846644563",
            "telephone_number": "801-477-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "MORGAN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "801-477-6843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Mapleton, UT
• Providers in Mapleton, UT by specialty
• Dermatology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.