Dexa Body Inc

Primary specialty

Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X

Legal business name

DEXA BODY INC

Practice address

5263 S Commerce Dr Ste 201
Murray, UT 84107-5306

Phone

(801) 274-3392

Fax

(801) 274-3392

NPI assigned

May 7, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Brandon Sheppard

Title

President/Ceo

Phone

(801) 428-8350

Specialties & licenses 9

Addresses

Electronic endpoints 1

Locations

Practitioners 3

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

• Kelly Gomez, MS, RDN, CD, LD

  • Registered Dietitian
  • Salt Lake City, UT
  • NPI 1114676558
  NPD
• Lucas Randall Perry

  • Registered Dietitian
  • Murray, UT
  • NPI 1912629163
  NPD
• Katie Garrido, RD

  • Registered Dietitian
  • San Diego, CA
  • NPI 1356124671
  NPD (past)

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1508488008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5263 S COMMERCE DR STE 201",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841075306",
            "telephone_number": "801-274-3392",
            "fax_number": "801-274-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5263 S COMMERCE DR STE 201",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075306",
            "telephone_number": "801-274-3392",
            "fax_number": "801-274-3392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11111 N Scottsdale Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852546732",
            "country_code": "US",
            "telephone_number": "801-428-8350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9883 Pacific Heights Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921214709",
            "country_code": "US",
            "telephone_number": "619-772-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3355 Lenox Rd NE Ste 750",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303261353",
            "country_code": "US",
            "telephone_number": "678-585-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEXA BODY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "801-428-8350",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QG0250X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Genetics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dexabody.com",
            "affiliation": "N",
            "endpointDescription": "Company website",
            "address_1": "5263 S Commerce Dr Ste 201",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841075306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dana Denton, PT
• Darryn John Detmers, RPA.,RT
• Mindy Devaney, NP
• Nicole J Devilbiss, CCC-A
• Pauline M. Devlin, MD
• Ritesh Dhar, M.D.
• Justine Diaz
• Sydney Kristine Diaz, PHARMD, MBA
• Cambri Dickerson, COTA/L
• Thomas Dickman, LCSW

• Obesity and Weight Management Nutrition Registered Dietitian in Murray, UT
• Providers in Murray, UT by specialty
• Obesity and Weight Management Nutrition Registered Dietitian in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.