Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shadow Mountain Family Medicine LLC

Organization Family Medicine Physician · NPI 1225294697

Shadow Mountain Family Medicine LLC is a Family Medicine Physician 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
Phone: (801) 282-5952
Fax: (801) 282-5951
Show map & directions

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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