DR. MARK JOHN BUITENWERF D.D.S.
NPI 1780873349
Dentist - General Practice in Decorah, IA
About Dr. Mark John Buitenwerf D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK JOHN BUITENWERF D.D.S. (NPI 1780873349) is an individual general practice provider in Decorah, Iowa, licensed in Iowa (05817) and active in the NPI registry since October 2007. He has opted out of Medicare through June 5, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Mark John Buitenwerf D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 5, 2012 through June 5, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 52101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mark Buitenwerf's NPI number?
The NPI number for Mark Buitenwerf is 1780873349. It was assigned to this individual provider in the NPPES registry on October 19, 2007.
Where is Mark Buitenwerf located?
Mark Buitenwerf practices at 501 Sanford St, Decorah, IA 52101. The listed phone number is (563) 382-2441.
What is Mark Buitenwerf's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Mark Buitenwerf enrolled in Medicare?
No. Mark Buitenwerf has opted out of Medicare through June 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Mark Buitenwerf was last updated on October 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Mark John Buitenwerf, D.D.S. · NPI 1780873349
General Practice provider in Decorah, Iowa. Individual provider, active in the CMS NPPES registry since October 19, 2007.
## Identity
- **NPI:** 1780873349 (Entity type: Individual)
- **Enumerated:** October 19, 2007
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 05817 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 501 SANFORD ST, Decorah, IA 52101-2005
- **Phone:** (563) 382-2441
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through June 5, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** October 19, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1780873349) · Data from the CMS NPPES public registry.