DR. ERIK H. MADSEN D.D.S., M.S.
NPI 1265520795
Dentist - Orthodontics and Dentofacial Orthopedics in Sandy, UT

Active since October 10, 2006PECOS Enrolled
10315 S 1300 E, SANDY, UT 84094(801) 943-2700(801) 495-2771 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Erik H. Madsen D.d.s., M.s. NPPES

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

DR. ERIK H. MADSEN D.D.S., M.S. (NPI 1265520795) is an individual orthodontics and dentofacial orthopedics provider in Sandy, Utah, licensed in Utah (134107-9921) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265520795
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. ERIK H. MADSENCredential: D.D.S., M.S.
Location Address10315 S 1300 ESandy, UT 84094-4681
Mailing Address10315 S 1300 ESandy, UT 84094-4681 · (801) 943-2700 · Fax (801) 495-2771
Fax(801) 495-2771
Sole ProprietorYes
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1265520795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in UT · 134107-9921
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
10315 S 1300 E, Sandy, UT 84094

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. Erik H. Madsen D.d.s., M.s. 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 84094 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.

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 Erik Madsen's NPI number?

The NPI number for Erik Madsen is 1265520795. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Erik Madsen located?

Erik Madsen practices at 10315 S 1300 E, Sandy, UT 84094. The listed phone number is (801) 943-2700.

What is Erik Madsen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Erik Madsen enrolled in Medicare?

Yes. Erik Madsen is registered in the Medicare PECOS enrollment system.

What insurance does Erik Madsen accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Erik Madsen 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 Erik Madsen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.