Organization Active NPI

Orthodontics of St. George, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • St George, UT
National Provider Identifier
1346884335
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
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

Updated by the provider on Nov 1, 2019

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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.