SIERRA BODILY DDS - NPI 1356094247 - Dentist in Murray, UT

Q: What is Sierra Bodily's NPI number?

The NPI number for Sierra Bodily is 1356094247. It was assigned to this individual provider in the NPPES registry on January 31, 2022.

Q: What is Sierra Bodily's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

Q: When was this NPI record last updated?

The NPPES record for Sierra Bodily was last updated on November 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Sierra Bodily Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIERRA BODILY DDS (NPI 1356094247) is an individual dentist anesthesiologist in Murray, Utah, licensed in Utah (12782441-9924) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Dentistry (2022).

NPPES Registry Identity

NPI1356094247

Entity TypeIndividualFemale

Primary Taxonomy1223D0004X

Provider Legal NameSIERRA BODILYCredential: DDS

Location Address151 E 5600 SMurray, UT 84107-6181

Mailing Address16 S 200 EKaysville, UT 84037-2018 · (208) 852-1560

Phone(208) 852-1560

Fax(208) 852-1560

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of DentistryGraduated 2022

Enumeration DateJanuary 31, 2022

Last NPPES UpdateNovember 10, 20252 updates tracked since enumeration

NPPES CertifiedNovember 10, 2025

✔ NPI 1356094247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers

Taxonomy Code1223D0004X

Licenses✔ Licensed in UT · 12782441-9924✔ Licensed in ID · 5171473

Definition

A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

151 E 5600 S, Murray, UT 84107

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sierra Bodily Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618460619

PECOS Enrollment IDI20251206000301

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.