Jordan Robert Harris, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

9557457-1204 Issued in UT

Practice address

62 E Thrive Dr
Saratoga Springs, UT 84045-5558

Phone

(801) 768-8800

NPI assigned

Jul 2, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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 1

Specialty

Dermatology

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Utah Valley Dermatology PCGroup PAC ID 7113181355, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Utah Valley Dermatology PC

  • Dermatology Physician
  • Lehi, UT
  • NPI 1922368927
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1285998484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 E MAIN ST STE 201",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432251",
            "telephone_number": "801-768-8800",
            "fax_number": "801-820-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 E THRIVE DR",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840455558",
            "telephone_number": "801-768-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 E Main St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840432251",
            "country_code": "US",
            "telephone_number": "801-768-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JORDAN",
        "middle_name": "ROBERT",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "9557457-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuji Harashima
• Breana Harley, DPT
• Dennis D Harper, D.O.
• Sawyer Harr, RBT
• Harris Orthodontics Saratoga Springs, LLC
• Philip Emerson Hatton, PHARM D
• Elizabeth Haughey, LPCC
• Health Center of Utah
• Austien Healy
• Melissa Rose Heaps, RD

• Dermatology Physician in Saratoga Springs, UT
• Providers in Saratoga Springs, UT by specialty
• Dermatology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.