Organization Active NPI

Mobile Dermatology Solutions of Uta

  • Dermatology Physician
  • West Jordan, UT
National Provider Identifier
1609787001
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
MOBILE DERMATOLOGY SOLUTIONS OF UTA
Practice address
6061 W 9860 S Ste a
West Jordan, UT 84081-5707
Phone
(888) 506-8838
NPI assigned
Sep 15, 2026
Last updated
Nov 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

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

Authorized official

Name
Jordan Heaps
Title
Owner
Phone
(386) 405-7810

Specialties & licenses 1

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

Addresses

Primary practice location

6061 W 9860 S Ste a
West Jordan, UT 84081-5707

Mailing address

6061 W 9860 S Ste a
West Jordan, UT 84081-5707
Phone (888) 506-8838

National Provider Directory

National Provider Directory

Locations

6061 W 9860 S
Ste A
West Jordan, UT 84081
Phone (888) 506-8838

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793577600000",
    "number": "1609787001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6061 W 9860 S STE A",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840815707",
            "telephone_number": "888-506-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6061 W 9860 S STE A",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840815707",
            "telephone_number": "888-506-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DERMATOLOGY SOLUTIONS OF UTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A",
        "authorized_official_last_name": "HEAPS",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-405-7810"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.

Verify at the official NPI Registry.