Organization Active NPI

Garling Medical PC

Doing business as Dermatology Affiliates

  • Dermatology Physician
  • Salt Lake City, UT
National Provider Identifier
1639652308
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
81643911206 Issued in UT
Legal business name
GARLING MEDICAL PC
Doing business as
Dermatology Affiliates
Practice address
1345 E 3900 S Ste 110
Salt Lake City, UT 84124-4403
Phone
(801) 272-4219
Fax
(810) 272-8565
NPI assigned
Sep 10, 2018
Last updated
Jul 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Mollie S Wilson
Title
Office Administrator
Phone
(801) 272-4219

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 81643911206 UT Primary
Rehabilitation Clinic/Center 261QR0400X NU

Addresses

Primary practice location

1345 E 3900 S Ste 110
Salt Lake City, UT 84124-4403

Mailing address

1345 E 3900 S Ste 110
Salt Lake City, UT 84124-4403
Phone (801) 272-4219

Other practice location 1

2751 Commercial Way
Rock Springs, WY 82901-4753
Phone (801) 272-4219

Other practice location 2

1181 S Highway 191 Ste 1
Moab, UT 84532-3014
Phone (801) 272-4219

Other practice location 3

6 Steptoe Cir
Ely, NV 89301-2692
Phone (801) 272-4219

Other practice location 4

1952 Harrison Dr
Evanston, WY 82930-3241
Phone (801) 272-4219

Other practice location 5

391 Aria Blvd
Wendover, UT 84083-4550
Phone (801) 272-4219

Other identifiers 3

IdentifierTypeStateIssuer
1306982855MedicaidUT
154861100MedicaidWY
250006900MedicaidNV

Other names 1

  • Dermatology Affiliates Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address staff@dermatologyaff.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY, NV3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20191220001020 UT Part B Supplier - Clinic/Group Practice 1153755327 Receives reassigned benefits from 1 practitioner
Practice locations: Blanding, UT; Moab, UT; Salt Lake City, UT; Wendover, UT
O20200122001408 WY Part B Supplier - Clinic/Group Practice 1153755327 Receives reassigned benefits from 1 practitioner
Practice locations: Evanston, WY; Rock Springs, WY
O20240509002026 NV Part B Supplier - Clinic/Group Practice 1153755327 Receives reassigned benefits from 1 practitioner
Practice locations: Ely, NV

National Provider Directory

National Provider Directory

Locations

1345 E 3900 S
Ste 110
Salt Lake Cty, UT 84124
Phone (801) 272-4219

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1639652308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 E 3900 S STE 110",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841244403",
            "telephone_number": "801-272-4219",
            "fax_number": "810-272-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 E 3900 S STE 110",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841244403",
            "telephone_number": "801-272-4219",
            "fax_number": "810-272-8565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2751 Commercial Way",
            "address_purpose": "LOCATION",
            "city": "Rock Springs",
            "state": "WY",
            "postal_code": "829014753",
            "country_code": "US",
            "telephone_number": "801-272-4219",
            "fax_number": "801-274-8565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1181 S Highway 191 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Moab",
            "state": "UT",
            "postal_code": "845323014",
            "country_code": "US",
            "telephone_number": "801-272-4219",
            "fax_number": "801-274-8565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Steptoe Cir",
            "address_purpose": "LOCATION",
            "city": "Ely",
            "state": "NV",
            "postal_code": "893012692",
            "country_code": "US",
            "telephone_number": "801-272-4219",
            "fax_number": "801-274-8565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1952 Harrison Dr",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "WY",
            "postal_code": "829303241",
            "country_code": "US",
            "telephone_number": "801-272-4219",
            "fax_number": "801-274-8565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "391 Aria Blvd",
            "address_purpose": "LOCATION",
            "city": "Wendover",
            "state": "UT",
            "postal_code": "840834550",
            "country_code": "US",
            "telephone_number": "801-272-4219",
            "fax_number": "801-274-8565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GARLING MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MOLLIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "801-272-4219"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "81643911206",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306982855",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154861100",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250006900",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff@dermatologyaff.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1345 E 3900 S Ste 110",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841244403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dermatology Affiliates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.