Custom DME

Primary specialty

AnaplastologistTaxonomy code 229N00000X

Legal business name

CUSTOM DME

Practice address

1455 S 500 W Ste D
Bountiful, UT 84010-8252

Phone

(801) 997-0545

Fax

(888) 977-5399

NPI assigned

Feb 18, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul Benjamin Tanner, CCANPI 1760607428

Title

Owner

Phone

(801) 997-0545

Specialties & licenses 2

Addresses

Other names 1

• FeelingWholeAgain.com Other name

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Benjamin Tanner, MBA, CCA

  • Anaplastologist
  • Bountiful, UT
  • NPI 1760607428

  Ocularist

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1255570099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3187 S 200 E",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105718",
            "telephone_number": "801-997-0545",
            "fax_number": "888-977-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 S 500 W STE D",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108252",
            "telephone_number": "801-997-0545",
            "fax_number": "888-977-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM DME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-997-0545",
        "authorized_official_credential": "CCA"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "229N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anaplastologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FeelingWholeAgain.com",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adjorkor Bonnie Joy Curtis
• Amy Valette Curtis, MD
• Ashley Curtis, D.O.
• Jamie Marie Curtis, BCBA
• Sierra Curtis
• Kara Da Costa Wazir
• Melanee Dahl, CLINICAL NUTRITIONIS
• Emily Daines, F.N.P.
• Pate Damond
• Daniel S. Sellers M.D. LLC

• Anaplastologist in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Anaplastologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.