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

Active since January 31, 2022PECOS Enrolled
151 E 5600 S, MURRAY, UT 84107(208) 852-1560(208) 852-1560 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 10, 2025, Jan 31, 2022 (2 updates tracked since 2022).

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Sierra Bodily reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Surgical Suite
0.6 mi
Ambulatory Surgical
151 E 5600 S STE 104
Murray, UT 84107
  • Reassigned Medicare billing, Utah enrollment
  • 15 clinicians in this Medicare group
NPI 1083861165 (801) 495-1064

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. VELIA JO COLEMAN L.P.C., RN
Counselor (Mental Health)
151 E 5600 S, # 204
MURRAY, UT 84107
Salt Lake County (801) 262-2400
DANIEL DAVID GRAY LCSW
Social Worker (Clinical)
151 E 5600 S, STE. 204
MURRAY, UT 84107
Salt Lake County (801) 262-2400
BIG BROTHERS BIG SISTERS OF UTHA
Clinic/Center (Rehabilitation, Substance Use Disorder)
151 E 5600 S, SUITE NUMBER 200
MURRAY, UT 84107
Salt Lake County (801) 313-0303
PHYSICIANS SURGICAL CENTERS GROUP
Anesthesiology
151 E 5600 S, SUITE 104
MURRAY, UT 84107
Salt Lake County (801) 495-1064
LIFESTAR SALT LAKE, LLC
Community/Behavioral Health
151 E 5600 S, #204
MURRAY, UT 84107
Salt Lake County (801) 262-2400
JOSHUA WALPOLE ACMHC
Counselor (Mental Health)
151 E 5600 S
MURRAY, UT 84107
Salt Lake County (435) 200-3175
MR. SCOTT ROBERT PETERSON LCSW
Social Worker (Clinical)
151 E 5600 S, SUITE 204
MURRAY, UT 84107
Salt Lake County (801) 979-8182
PHYSICIANS SURGICAL CENTER
Clinic/Center (Ambulatory Surgical)
151 E 5600 S, SUITE 104
MURRAY, UT 84107
Salt Lake County (801) 288-1211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Sierra Bodily located?

Sierra Bodily practices at 151 E 5600 S, Murray, UT 84107. The listed phone number is (208) 852-1560.

What is Sierra Bodily's specialty?

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

Is Sierra Bodily enrolled in Medicare?

Yes. Sierra Bodily is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sierra Bodily's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sierra Bodily reassigns Medicare benefits to Family Surgical Suite (Murray, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sierra Bodily's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sierra Bodily was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.