DR. MARK THEODORE ENDRIZZI D.D.S.
NPI 1790776920
Dentist - Orthodontics and Dentofacial Orthopedics in Taylorsville, UT
About Dr. Mark Theodore Endrizzi D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK THEODORE ENDRIZZI D.D.S. (NPI 1790776920) is an individual orthodontics and dentofacial orthopedics provider in Taylorsville, Utah, licensed in Utah (6671559-9921) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Mark Theodore Endrizzi D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mark Endrizzi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Harmony, MN 55939
- Reassigned Medicare billing, Minnesota and Wisconsin enrollments
- Also billed through NPI 1053366518 (Wisconsin)
- 141 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84118 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TAYLORSVILLE, UT 84118
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 Endrizzi's NPI number?
The NPI number for Mark Endrizzi is 1790776920. It was assigned to this individual provider in the NPPES registry on November 5, 2005.
Where is Mark Endrizzi located?
Mark Endrizzi practices at 3105 W 5400 S, Taylorsville, UT 84118. The listed phone number is (801) 969-6236.
What is Mark Endrizzi's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.
Is Mark Endrizzi enrolled in Medicare?
Yes. Mark Endrizzi is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mark Endrizzi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Endrizzi reassigns Medicare benefits to Gundersen Clinic Ltd (Harmony, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Endrizzi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Endrizzi accept?
Health plans from Aspirus Health Plan, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Wisconsin, Inc. and 2 other insurers list Mark Endrizzi 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 Mark Endrizzi was last updated on December 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.