{"npi":"1558766477","type":"NPI-2","status":"active","name":{"display":"Jordan Valley Dermatology Center LLC","other":[],"organization_name":"JORDAN VALLEY DERMATOLOGY CENTER LLC","authorised_official":"Wesley Brown"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":true,"state":"UT","license":"1756931205"}]},"addresses":[{"purpose":"LOCATION","street_1":"3570 W 9000 S","city":"WEST JORDAN","state":"UT","postal_code":"840888869","country_code":"US","phone":"8015691456","fax":"8015657931"},{"purpose":"MAILING","street_1":"3570 W 9000 S","city":"WEST JORDAN","state":"UT","postal_code":"840888869","country_code":"US","phone":"8015691456","fax":"8015657931"}],"license":{"state":"UT","number":"1756931205"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20150126001007","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"UT","pac_id":"5890019707"}]},"enumeration_date":"2014-11-04","last_updated":"2014-11-04","_meta":{"source":"NPPES","snapshot_date":"2014-11-04","doc_url":"https://findmynpi.com/api"}}