Active NPI
Orthodontics of St. George, P.C.
- Orthodontics and Dentofacial Orthopedics Dentistry
- St George, UT
National Provider Identifier
1346884335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- ORTHODONTICS OF ST. GEORGE, P.C.
- Practice address
- 965 E 700 S Ste 101
St George, UT 84790-4084 - Phone
- (435) 688-7711
- NPI assigned
- Nov 1, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Misty M Abeyta
- Title
- Billing
- Phone
- (505) 592-0482
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
965 E 700 S Ste 101
St George, UT 84790-4084
Mailing address
4760 N Butler Ave Ste B
Farmington, NM 87401-0816
Phone (505) 592-0482
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572566400000",
"number": "1346884335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4760 N BUTLER AVE STE B",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874010816",
"telephone_number": "505-592-0482",
"fax_number": "505-325-2538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "965 E 700 S STE 101",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847904084",
"telephone_number": "435-688-7711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHODONTICS OF ST. GEORGE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-01",
"last_updated": "2019-11-01",
"status": "A",
"authorized_official_last_name": "ABEYTA",
"authorized_official_first_name": "MISTY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "BILLING",
"authorized_official_telephone_number": "505-592-0482"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.