B&G Management Services LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

6229925 Issued in UT

Legal business name

B&G MANAGEMENT SERVICES LLC

Practice address

186 S 1100 E
American Fork, UT 84003-2817

Phone

(801) 756-5136

NPI assigned

Aug 26, 2016

Organization subpart

No

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

Authorized official

Name

Michael Brandon Green, DDS

Title

Dr. M. Brandon Green DDS/ Owner

Phone

(801) 756-5136

Specialties & licenses 1

Addresses

Other names 1

• Masterpiece Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David G. Erekson, D.D.S.

  • General Practice Dentistry
  • American Fork, UT
  • NPI 1912028077
  NPD (past)
• Nicholas Lamar Groneman, D.M.D.

  • General Practice Dentistry
  • American Fork, UT
  • NPI 1295925675
  NPD (past)

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1184170508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 S 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032817",
            "telephone_number": "801-756-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 S 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032817",
            "telephone_number": "801-756-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&G MANAGEMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "DR. M. BRANDON GREEN DDS/ OWNER",
        "authorized_official_telephone_number": "801-756-5136",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "UT",
            "license": "6229925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Masterpiece Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Michelle Avalle, CSW
• Ryan Christopher Averett, DC
• Jericho Brent Avery, CSW, CSUDC
• Axis Hospice
• Kellsie Ayers
• Whitney Vesser Badal
• Sean Colin Baenziger, CSW
• Karina Bahr, LAMFT
• Rebecca Bailey, ATC
• Kylie Meeshel Bair, LCSW

• Preferred Provider Organization in American Fork, UT
• Providers in American Fork, UT by specialty
• Preferred Provider Organization in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.