DR. ADAM C STANLEY D.D.S.
NPI 1023336104
Dentist - Oral and Maxillofacial Surgery in South Jordan, UT

Active since May 13, 2010Opted out of Medicare · through Apr 10, 2027
3632 W SOUTH JORDAN PKWY STE 103, SOUTH JORDAN, UT 84009(385) 274-4848 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Adam C Stanley D.d.s. NPPES

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

DR. ADAM C STANLEY D.D.S. (NPI 1023336104) is an individual oral and maxillofacial surgery provider in South Jordan, Utah, licensed in Iowa (09071) and active in the NPI registry since May 2010. He has opted out of Medicare through April 10, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1023336104
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. ADAM C STANLEYCredential: D.D.S.
Location Address3632 W SOUTH JORDAN PKWY STE 103South Jordan, UT 84009-7163
Mailing Address13215 Birch Dr, Suite 100Omaha, NE 68164-5431 · (402) 390-0770
Sole ProprietorYes
Enumeration DateMay 13, 2010
Last NPPES UpdateMarch 12, 2020
NPPES CertifiedMarch 12, 2020
NPI 1023336104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in IA · 09071
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3632 W SOUTH JORDAN PKWY STE 103, South Jordan, UT 84009

Accepted Insurance

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. Adam C Stanley 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 April 10, 2019 through April 10, 2027.

Opt-Out Effective DateApril 10, 2019
Opt-Out In Effect ThroughApril 10, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84009 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
3632 W SOUTH JORDAN PKWY STE 103
SOUTH JORDAN, UT 84009
Clinic/Center (Oral and Maxillofacial Surgery)
3632 W SOUTH JORDAN PKWY STE 103
SOUTH JORDAN, UT 84009

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 Adam Stanley's NPI number?

The NPI number for Adam Stanley is 1023336104. It was assigned to this individual provider in the NPPES registry on May 13, 2010.

Where is Adam Stanley located?

Adam Stanley practices at 3632 W South Jordan Pkwy Ste 103, South Jordan, UT 84009. The listed phone number is (385) 274-4848.

What is Adam Stanley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Adam Stanley enrolled in Medicare?

No. Adam Stanley has opted out of Medicare through April 10, 2027. 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.

What insurance does Adam Stanley accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 19 other insurers list Adam Stanley 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 Adam Stanley was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.