DR. IRENE ISAZA BEVAN DMD
NPI 1205497096
Dentist - General Practice in South Jordan, UT

Active since June 24, 2019PECOS Enrolled
3785 W 10400 S, SOUTH JORDAN, UT 84095(801) 253-2249 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Irene Isaza Bevan Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IRENE ISAZA BEVAN DMD (NPI 1205497096) is an individual general practice provider in South Jordan, Utah, licensed in Utah (11324979-9922) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205497096
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. IRENE ISAZA BEVANCredential: DMD
Location Address3785 W 10400 SSouth Jordan, UT 84095
Mailing Address2212 E Oak Leaf WaySandy, UT 84092-5688 · (321) 948-8374
Sole ProprietorNo
Enumeration DateJune 24, 2019
NPI 1205497096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in UT · 11324979-9922
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3785 W 10400 S, South Jordan, UT 84095

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Irene Isaza Bevan Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
3785 W 10400 S
SOUTH JORDAN, UT 84095

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Irene Bevan's NPI number?

The NPI number for Irene Bevan is 1205497096. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Where is Irene Bevan located?

Irene Bevan practices at 3785 W 10400 S, South Jordan, UT 84095. The listed phone number is (801) 253-2249.

What is Irene Bevan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Irene Bevan enrolled in Medicare?

Yes. Irene Bevan is registered in the Medicare PECOS enrollment system.

What insurance does Irene Bevan accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 9 other insurers list Irene Bevan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Irene Bevan was last updated on June 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.