Organization Active NPI

Endrizzi Orthodontics, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Farmington, NM
National Provider Identifier
1871902593
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DD2287 Issued in NM
Legal business name
ENDRIZZI ORTHODONTICS, LLC
Practice address
3903 Beckland Dr. Suite a
Farmington, NM 87402-4701
Phone
(505) 436-2727
Fax
(505) 436-2729
NPI assigned
Aug 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bonnie Bond
Title
Office Lead
Phone
(505) 436-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DD2287 NM Primary

Addresses

Primary practice location

3903 Beckland Dr. Suite a
Farmington, NM 87402-4701

Mailing address

3903 Beckland Dr. Suite a
Farmington, NM 87402-4701
Phone (505) 436-2727

Other identifiers 1

IdentifierTypeStateIssuer
45586551MedicaidNM

Other names 1

  • Sundance Orthodontics LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

3903 Beckland Dr
Farmington, NM 87402
Phone (505) 436-2735

3903 Beckland Dr
Ste A
Farmington, NM 87402

6588 E Main St
Farmington, NM 87402
Phone (505) 326-6800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1871902593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 BECKLAND DR. SUITE A",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874024701",
            "telephone_number": "505-436-2727",
            "fax_number": "505-436-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 BECKLAND DR. SUITE A",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874024701",
            "telephone_number": "505-436-2727",
            "fax_number": "505-436-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDRIZZI ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "OFFICE LEAD",
        "authorized_official_telephone_number": "505-436-2727"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NM",
            "license": "DD2287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45586551",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sundance Orthodontics LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.