Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Shadow Mountain Family Medicine LLC

Organization Family Medicine Physician · NPI 1225294697

Shadow Mountain Family Medicine LLC provides Family Medicine Physician services in West Jordan, Utah. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3855 W 7800 S Ste 100
West Jordan, UT 84088-5560 Not confirmed with CMS for 17 years — call before visiting
Phone: (801) 282-5952
Fax: (801) 282-5951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1225294697
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Kane — Vp · (801) 568-5999
NPI enumeratedAugust 5, 2008
Last updated in NPPESJune 4, 2009
Mailing address3855 W 7800 S, Suite 100, West Jordan, UT 84088-5560

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