Sierra Bodily, DDS

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

12782441-9924 Issued in UT

Practice address

151 E 5600 S
Murray, UT 84107-6181

Phone

(208) 852-1560

Fax

(208) 852-1560

NPI assigned

Jan 31, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dental Anesthesiology

Education

University of Utah School of Dentistry, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Surgical Suite

  • Ambulatory Surgical Clinic/Center
  • West Jordan, UT
  • NPI 1508040221
  Medicare reassignment NPD
• Family Surgical Suite

  • Anesthesiology Physician
  • Murray, UT
  • NPI 1811146384
  NPD

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1356094247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 S 200 E",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840372018",
            "telephone_number": "208-852-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 E 5600 S",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076181",
            "telephone_number": "208-852-1560",
            "fax_number": "208-852-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODILY",
        "first_name": "SIERRA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "UT",
            "license": "12782441-9924",
            "primary": true
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "ID",
            "license": "5171473",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Autism Center
• Nathan R Blue, MD
• Sonda Bluemel, F-AAA
• Amanda Kathleen Blume, PHD
• Sterling Bo
• Denise Marie Boelens, PH.D.
• Markus A. Boesl, MD
• James Bokinskie II, DPT
• Jordan Bolinder
• Bruce A. Bolonesi, PA-C

• Dental Anesthesiology in Murray, UT
• Providers in Murray, UT by specialty
• Dental Anesthesiology in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.