Organization Active NPI

Beckstrom Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • St George, UT
National Provider Identifier
1235601659
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
BECKSTROM ORTHODONTICS
Practice address
446 S Mall Dr Ste 100
St George, UT 84790-5113
Phone
(435) 673-3334
Fax
(435) 652-9051
NPI assigned
Dec 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Authorized official

Name
Brian L Beckstrom, DDS, MSDNPI 1396035416
Title
Owner/Orthodontist
Phone
(435) 673-3334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

446 S Mall Dr Ste 100
St George, UT 84790-5113

Mailing address

PO Box 1288
Washington, UT 84780-1288
Phone (435) 673-3334

Other practice location 1

910 S 300 W
Blanding, UT 84511-3921
Phone (435) 673-3334

Other practice location 2

1100 Canyon View Dr Ste A
Santa Clara, UT 84765-5672
Phone (435) 673-3334

Other practice location 3

754 S Main St Ste 2
St George, UT 84770-5506
Phone (435) 673-3334

Other identifiers 2

IdentifierTypeStateIssuer
9366743-9921OtherUTUTAH DENTAL LICENSE-BRIAN L. BECKSTROM
1396035416OtherINDIVIDUAL NPI-BRIAN L. BECKSTROM

National Provider Directory

National Provider Directory

Locations

1100 Canyon View Dr
Santa Clara, UT 84765
Phone (435) 703-9680

754 S Main St
Ste 2
St George, UT 84770
Phone (435) 673-1171

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1545609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1235601659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1288",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847801288",
            "telephone_number": "435-673-3334",
            "fax_number": "435-652-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 S MALL DR STE 100",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847905113",
            "telephone_number": "435-673-3334",
            "fax_number": "435-652-9051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 S 300 W",
            "address_purpose": "LOCATION",
            "city": "Blanding",
            "state": "UT",
            "postal_code": "845113921",
            "country_code": "US",
            "telephone_number": "435-673-3334",
            "fax_number": "435-652-9051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Canyon View Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "UT",
            "postal_code": "847655672",
            "country_code": "US",
            "telephone_number": "435-673-3334",
            "fax_number": "435-652-9051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "754 S Main St Ste 2",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847705506",
            "country_code": "US",
            "telephone_number": "435-673-3334",
            "fax_number": "435-652-9051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BECKSTROM ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-24",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "BECKSTROM",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "435-673-3334",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH DENTAL LICENSE-BRIAN L. BECKSTROM",
            "identifier": "9366743-9921",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI-BRIAN L. BECKSTROM",
            "identifier": "1396035416",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.