NPIMap

Organization Active NPI

Smart & Gibbs

Doing business as Smart Skin Dermatology

  • Dermatology Physician
  • Lehi, UT
National Provider Identifier
1548810401
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SMART & GIBBS
Doing business as
Smart Skin Dermatology
Practice address
3200 W Clubhouse Dr Ste 100
Lehi, UT 84048-4325
Phone
(385) 273-3376
Fax
(385) 243-1536
NPI assigned
Sep 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Matthew Walker
Title
Director of Operations
Phone
(385) 273-3376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

3200 W Clubhouse Dr Ste 100
Lehi, UT 84048-4325

Mailing address

3200 W Clubhouse Dr Ste 100
Lehi, UT 84048-4325
Phone (385) 273-3376

Other names 1

  • Smart Skin Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200228001791 UT Part B Supplier - Clinic/Group Practice 0648607861 Receives reassigned benefits from 6 practitioners
Practice locations: Lehi, UT

National Provider Directory

National Provider Directory

Locations

3200 W Clubhouse Dr
Ste 100
Lehi, UT 84048
Phone (385) 273-3372

Practitioners & affiliated clinicians

Practitioners 6

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": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1548810401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 W CLUBHOUSE DR STE 100",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840484325",
            "telephone_number": "385-273-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W CLUBHOUSE DR STE 100",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840484325",
            "telephone_number": "385-273-3376",
            "fax_number": "385-243-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART & GIBBS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "385-273-3376"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smart Skin Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.