Custom Dme
NPI 1255570099 · Anaplastologist · Bountiful, UT
Enrolled with Medicare as Dme Supplier - Ocularist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Custom Dme is a Anaplastologist organization in Bountiful, UT (NPI 1255570099).
Provider details
- NPI number
- 1255570099
- Entity type
- Organization
- Primary specialty
- AnaplastologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Paul Tanner, Owner(801) 997-0545
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Ocularist156FX1700X
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Feelingwholeagain.com
Registry dates
- Enumerated
- 2009-02-18
- Last updated
- 2024-10-31
- Certified
- 2024-10-31
Frequently asked questions
- What is Custom Dme's NPI number?
- Custom Dme's National Provider Identifier (NPI) is 1255570099, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Dme?
- Custom Dme is classified in the NPPES registry as Anaplastologist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Custom Dme located?
- Custom Dme's practice location on file with NPPES is 1455 S 500 W Ste D, Bountiful, UT 84010-8252.
- What is Custom Dme's phone number?
- The practice phone number listed in the NPPES registry for Custom Dme is (801) 997-0545.
- Does Custom Dme accept Medicare?
- Custom Dme is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Custom Dme?
- The authorized official listed on Custom Dme's NPPES record is Paul Tanner, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Dme's NPI active?
- Yes — Custom Dme's NPI (1255570099) is active in the NPPES registry as of the last update on 2024-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.