Brian L. Beckstrom P.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

93667439921 Issued in UT

Legal business name

BRIAN L. BECKSTROM P.C.

Practice address

1091 N Bluff St
Suite 550
St George, UT 84770-4894

Phone

(435) 628-6200

Fax

(435) 652-9051

NPI assigned

Apr 14, 2017

Last updated

Apr 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian Beckstrom, DDS, MSDNPI 1396035416

Title

President/Orthodontist

Phone

(435) 628-6200

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Beckstrom

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • St George, UT
  • NPI 1396035416
  NPD (past) Authorized official
• Brice William Beckstrom, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • St George, UT
  • NPI 1053478420
  NPD (past)

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1174057319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 N BLUFF ST",
            "address_2": "SUITE 550",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704894",
            "telephone_number": "435-628-6200",
            "fax_number": "435-652-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 N BLUFF ST",
            "address_2": "SUITE 550",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704894",
            "telephone_number": "435-628-6200",
            "fax_number": "435-652-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN L. BECKSTROM P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "BECKSTROM",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT/ORTHODONTIST",
        "authorized_official_telephone_number": "435-628-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "93667439921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Nicole Brenenstall
• Annalie Brennan, NP-C
• Malorie Brenneman
• Chase Brewer
• Mekenzie Breymann
• Brian Rosell DDS PLLC
• William Bridewell
• Bridge Clinic, PLLC (St. George Dermatology)
• Bright Horizon Counseling PLLC
• Brightening Within Counseling, LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in St George, UT
• Providers in St George, UT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.