Active NPI
Summit Mohs Dermatology PLLC
- MOHS-Micrographic Surgery Physician
- Herriman, UT
National Provider Identifier
1437022308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- Legal business name
- SUMMIT MOHS DERMATOLOGY PLLC
- Practice address
- 5089 West 11800 South
Suite 202
Herriman, UT 84096 - Phone
- (801) 980-2546
- NPI assigned
- Sep 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Cowart, MD
- Title
- Owner
- Phone
- (801) 980-2546
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | |||
| MOHS-Micrographic Surgery Physician | 207ND0101X | Primary | ||
| Procedural Dermatology Physician | 207NS0135X |
Addresses
Primary practice location
5089 West 11800 South
Suite 202
Herriman, UT 84096
Mailing address
1500 W 4800 S
Taylorsville, UT 84123-4210
Phone (801) 980-2546
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1758844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772064000000",
"number": "1437022308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 W 4800 S",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841234210",
"telephone_number": "801-980-2546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5089 WEST 11800 SOUTH",
"address_2": "SUITE 202",
"city": "HERRIMAN",
"state": "UT",
"postal_code": "84096",
"telephone_number": "801-980-2546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT MOHS DERMATOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-26",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A",
"authorized_official_last_name": "COWART",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-980-2546",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "207NS0135X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Herriman, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.