DR. MARK THEODORE ENDRIZZI D.D.S.
NPI 1790776920
Dentist - Orthodontics and Dentofacial Orthopedics in Taylorsville, UT

Active since November 05, 2005PECOS Enrolled
3105 W 5400 S, TAYLORSVILLE, UT 84118(801) 969-6236 Get Directions Write a Review

NPPES record last updated: December 31, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1790776920
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. MARK THEODORE ENDRIZZICredential: D.D.S.
Location Address3105 W 5400 STaylorsville, UT 84118-2200
Mailing Address3105 W 5400 STaylorsville, UT 84118-2200 · (801) 969-6236
Sole ProprietorNo
Enumeration DateNovember 5, 2005
Last NPPES UpdateDecember 31, 2008
NPI 1790776920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in UT · 6671559-9921
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.
Also ListedDentistTaxonomy 122300000X · License D12090 (MN)
3105 W 5400 S, Taylorsville, UT 84118

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. Mark Theodore Endrizzi D.d.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 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.

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.

Dentist (Orthodontics and Dentofacial Orthopedics)
3105 W 5400 S
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.

What insurance does Mark Endrizzi accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 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.