ALEXANDER JOHN KRISKO DMD, MD
NPI 1205368495
Dentist - Oral and Maxillofacial Surgery in Conover, NC

Active since March 28, 2017Opted out of Medicare · through Jul 21, 2027
3452 GRAYSTONE PL SE, CONOVER, NC 28613(828) 322-1667 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2023, Jul 3, 2018, Mar 28, 2017 (3 updates tracked since 2017).

About Alexander John Krisko Dmd, Md NPPES

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

ALEXANDER JOHN KRISKO DMD, MD (NPI 1205368495) is an individual oral and maxillofacial surgery provider in Conover, North Carolina, licensed in North Carolina (12693) and active in the NPI registry since March 2017. He has opted out of Medicare through July 21, 2027 and maintains a secondary practice location in Statesville.

NPPES Registry Identity

NPI1205368495
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameALEXANDER JOHN KRISKOCredential: DMD, MD
Location Address3452 GRAYSTONE PL SEConover, NC 28613-8200
Mailing AddressPo Box 2526Hickory, NC 28603-2526 · (828) 322-1667 · Fax (828) 324-5877
Sole ProprietorNo
Enumeration DateMarch 28, 2017
Last NPPES UpdateJune 20, 20233 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
NPI 1205368495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in NC · 12693 Licensed in KY · 9962
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.
3452 GRAYSTONE PL SE, Conover, NC 28613

Secondary Practice Location 1

Location 11306 Davie AveStatesville, NC 28677-3514 · Phone (704) 873-6988

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

Alexander John Krisko Dmd, Md 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 July 21, 2023 through July 21, 2027.

Opt-Out Effective DateJuly 21, 2023
Opt-Out In Effect ThroughJuly 21, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 (Oral and Maxillofacial Surgery)
3452 GRAYSTONE PL SE
CONOVER, NC 28613

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 Alexander Krisko's NPI number?

The NPI number for Alexander Krisko is 1205368495. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Alexander Krisko located?

Alexander Krisko practices at 3452 Graystone Pl SE, Conover, NC 28613. The listed phone number is (828) 322-1667.

What is Alexander Krisko's specialty?

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

Is Alexander Krisko enrolled in Medicare?

No. Alexander Krisko has opted out of Medicare through July 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Alexander Krisko accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Alexander Krisko 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 Alexander Krisko was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.