Organization
DEXA BODY INC
Active
Organization
DEXA BODY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON SHEPPARD (PRESIDENT/CEO)
(801) 428-8350
Entity
Organization
Contact information
Practice address
5263 S COMMERCE DR STE 201, MURRAY, UT 84107-5306
(801) 274-3392
(801) 274-3392
Mailing address
5263 S COMMERCE DR STE 201, SALT LAKE CITY, UT 84107-5306
(801) 274-3392
(801) 274-3392
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
261QG0250X
Genetics Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Enumeration date
05/07/2020
Last updated
06/18/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up