Bonneville Dialysis Center

Primary specialty

Renal Dialysis TechnicianTaxonomy code 2472R0900X

Legal business name

BONNEVILLE DIALYSIS CENTER

Practice address

5575 S 500 E
Ogden, UT 84405-6907

Phone

(801) 479-0351

Fax

(801) 476-1766

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Steve Sutch

Title

Clinical Admin. Manager

Phone

(801) 587-7606

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1851455224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27071",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270071",
            "telephone_number": "801-581-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 S 500 E",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056907",
            "telephone_number": "801-479-0351",
            "fax_number": "801-476-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNEVILLE DIALYSIS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SUTCH",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CLINICAL ADMIN. MANAGER",
        "authorized_official_telephone_number": "801-587-7606"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2472R0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other, Renal Dialysis",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Boi
• Deanna Leigh Bojanower, APRN-BC
• Dakota Bone
• Staci Larene Bone, STUDENT NP
• Bonneville Dialysis Center (University of Utah)
• Bonneville Pelvic Health LLC
• Bonneville Preventive Dentistry PLLC
• Gregory Alan Booth, D. D. S.
• Jeffrey E Booth, M.D.
• Jeremy T Booth, MD

• Other Technician in Ogden, UT
• Providers in Ogden, UT by specialty
• Other Technician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.