Individual provider Active NPI

Brandon Joseph Streiff, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Draper, UT
National Provider Identifier
1740411818
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
48103949921 Issued in UT
Practice address
13957 S Bangerter Pkwy Ste 101
Draper, UT 84020-5429
Phone
(385) 799-8500
NPI assigned
Aug 6, 2009
Last updated
Nov 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 48103949921 UT Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 4810394-9921 UT

Addresses

Primary practice location

13957 S Bangerter Pkwy Ste 101
Draper, UT 84020-5429

Mailing address

1705 E Wylie LN
Draper, UT 84020-7675
Phone (801) 891-7485

Other practice location 1

1737 N 2000 W Ste G
Clinton, UT 84015-8215
Phone (801) 891-7485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4810394-9921UTMDOrthodontics and Dentofacial Orthopedic Dentist
48103949921UTMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1740411818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 E WYLIE LN",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207675",
            "telephone_number": "801-891-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13957 S BANGERTER PKWY STE 101",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205429",
            "telephone_number": "385-799-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1737 N 2000 W Ste G",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "UT",
            "postal_code": "840158215",
            "country_code": "US",
            "telephone_number": "801-891-7485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STREIFF",
        "first_name": "BRANDON",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-06",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "48103949921",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "4810394-9921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.