NPIMap

Organization Active NPI

Utah Podiatry Group LLC

Doing business as Advanced Foot And Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Salt Lake City, UT
National Provider Identifier
1821757303
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
Doing business as
Advanced Foot And Ankle Center
Practice address
1250 E 3900 S Ste 420
Salt Lake City, UT 84124-1355
Phone
(801) 505-5277
Fax
(801) 505-5280
NPI assigned
Dec 13, 2021
Last updated
Oct 27, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
UTAH PODIATRY GROUP LLCAs reported in NPPES

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
Scott A ClarkNPI 1700865748
Title
DPM
Phone
(801) 505-5277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Podiatrist 213E00000X
Foot & Ankle Surgery Podiatrist 213ES0103X Primary

Addresses

Primary practice location

1250 E 3900 S Ste 420
Salt Lake City, UT 84124-1355

Mailing address

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

Other names 1

  • Advanced Foot And Ankle Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

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
This NPI is an additional NPI on the 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…
O20230509002943 UT DME Supplier - Physician - Podiatry 2163592379 Practice locations: Salt Lake City, UT

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
Tax ID family
Utah Podiatry Group PC16 organizations share this tax ID, including this one
Part of
Utah Podiatry Group PC

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Member of 1

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1821757303",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S STE 420",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241355",
            "telephone_number": "801-505-5277",
            "fax_number": "801-505-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH PODIATRY GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UTAH PODIATRY GROUP LLC",
        "enumeration_date": "2021-12-13",
        "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": "DPM",
        "authorized_official_telephone_number": "801-505-5277"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Foot And Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Foot And Ankle Center",
            "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 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.