NPIMap

Organization Active NPI

Utah Podiatry Group LLC

  • Foot & Ankle Surgery Podiatrist
  • Salt Lake City, UT
National Provider Identifier
1659540359
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
UTAH PODIATRY GROUP LLC
Practice address
24 S 1100 E Ste 210
Salt Lake City, UT 84102-1580
Phone
(801) 505-5277
Fax
(801) 505-5280
NPI assigned
Feb 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Dr. Scott A. Clark, DPMNPI 1700865748
Title
Podiatrist
Phone
(801) 505-5277

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)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

24 S 1100 E Ste 210
Salt Lake City, UT 84102-1580

Mailing address

PO Box 849795
Los Angeles, CA 90084-9795
Phone (801) 505-5277

Other practice location 1

8822 S Redwood Rd Ste E121
West Jordan, UT 84088-5763
Phone (801) 285-7060

Other practice location 2

520 Medical Dr Ste 230
Bountiful, UT 84010-8932
Phone (801) 292-5070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NV, CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20080530000369 UT Part B Supplier - Clinic/Group Practice 2163592379 Receives reassigned benefits from 15 practitioners
19 other NPIs on this enrollment
Practice locations: Park City, UT; West Jordan, UT; South Ogden, UT; Sandy, UT; Salt Lake City, UT; Millcreek, UT; Highland, UT; Heber City, UT…
O20220615000423 NV Part B Supplier - Clinic/Group Practice 2163592379 1 other NPI on this enrollment
Practice locations: Mesquite, NV
O20251203003494 CA Part B Supplier - Clinic/Group Practice 2163592379 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Monica, CA

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2121 Wilshire Blvd
Ste 103
Santa Monica, CA 90403
Phone (310) 264-0065

440 Medical Dr
Ste 1
Bountiful, UT 84010
Phone (801) 292-5070

1251 Northfield Rd
Ste 103
Cedar City, UT 84721
Phone (435) 383-5770

345 W 600 S
Ste 408
Heber City, UT 84032
Phone (801) 373-2499

1660 W Antelope Dr
Ste 110
Layton, UT 84041
Phone (801) 825-4709

999 E Murray Holladay Rd
Ste 105
Millcreek, UT 84117
Phone (801) 274-9062

1840 Sun Peak Dr
Park City, UT 84098
Phone (435) 658-0678

1840 Sun Peak Dr
Ste A203
Park City, UT 84098
Phone (435) 256-8377

1840 Sun Peak Dr
Ste A
Park City, UT 84098

1973 N State St
Provo, UT 84604
Phone (801) 373-2499

1885 W 4400 S
Roy, UT 84067
Phone (801) 731-3833

4484 S 1900 W
Roy, UT 84067

962 Chambers St
Ste 10
South Ogden, UT 84403
Phone (385) 206-2226

962 Chambers St
South Ogden, UT 84403
Phone (801) 373-2499

440 Medical Dr
Ste 2
West Bountiful, UT 84010
Phone (801) 294-0191

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1659540359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849795",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900849795",
            "telephone_number": "801-505-5277",
            "fax_number": "801-797-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S 1100 E STE 210",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021580",
            "telephone_number": "801-505-5277",
            "fax_number": "801-505-5280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8822 S Redwood Rd Ste E121",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840885763",
            "country_code": "US",
            "telephone_number": "801-285-7060",
            "fax_number": "801-285-7061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 Medical Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Bountiful",
            "state": "UT",
            "postal_code": "840108932",
            "country_code": "US",
            "telephone_number": "801-292-5070",
            "fax_number": "801-505-5277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UTAH PODIATRY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "801-505-5277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 27, 2025; 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.