BRIAN BECKSTROM (NPI# 1396035416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396035416 |
| Entity Type | Individual |
| Full Name | BRIAN BECKSTROM |
| Practice Address |
1091 N Bluff St Ste 550 St George UT 84770 |
| Mailing Address |
1091 N Bluff St Ste 550 St George UT 84770-5775 |
| Practice Telephone | 4356286200 |
| Practice Fax Number | 4356529051 |
| Mailing Telephone | 4356286200 |
| Mailing Fax Number | 4356529051 |
| Enumeration Date | 2011-04-10 |
| Last Update Date | 2018-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
9366743-9921 | UT | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
S3-248 | NV | Dental Providers |
| Street Address |
1091 N BLUFF ST STE 550 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346884335 | Orthodontics of St. George, P.C. | Dentist | 965 E 700 S Ste 101, St George, UT 84790-4084 | 2019-11-01 |
| 1235601659 | Burke and Beckstrom Orthodontics | Dentist | 446 S Mall Dr Ste 100, St George, UT 84790-4944 | 2018-12-24 |
| 1457749285 | Jeff W Erickson | Dentist | 640 E 700 S Ste 301, St George, UT 84770-5741 | 2015-01-01 |
| 1386865459 | Bradley G Simister | Dentist | 1054 E Riverside Dr Ste 101, St George, UT 84790-4740 | 2007-05-02 |
| 1053478420 | Brice William Beckstrom | Dentist | 1091 N Bluff St, Suite 550, St George, UT 84770-4894 | 2007-01-03 |
| 1174057319 | Brian L. Beckstrom P.C. | Dentist | 1091 N Bluff St, Suite 550, St George, UT 84770-4894 | 2017-04-14 |
| 1215478425 | Spendlove Orthodontics, Pllc | Dentist | 965 E 700 S, #101, St George, UT 84790-4082 | 2017-03-20 |
| 1710254792 | Randy T Simonsen | Dentist | 10 Diagonal St, St George, UT 84770-2878 | 2011-11-19 |
| 1972782621 | Orthodontic Specialists LLC | Dentist | 640 East 700 South, Suite 301, St George, UT 84770 | 2007-10-30 |
| 1235332719 | Wayne J Christian | Dentist | 330 E Tabernacle St, Suite B, St George, UT 84770-3093 | 2007-06-11 |
| Find all providers in ST GEORGE | ||||
Please comment or provide details below to improve the information on BRIAN BECKSTROM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.