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DR. ERIC M NORDSTROM DDS, MD
NPI 1316954670
Oral & Maxillofacial Surgery in Anchorage, AK

Active since August 01, 2006Opted out of Medicare · through Jan 12, 2028
2041 TRIBUTARY CIR, ANCHORAGE, AK 99516(503) 545-9249 Get Directions Write a Review

NPPES record last updated: October 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Eric M Nordstrom Dds, Md NPPES

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

DR. ERIC M NORDSTROM DDS, MD (NPI 1316954670) is an individual oral & maxillofacial surgery provider in Anchorage, Alaska, licensed in Alaska (MEDS7783) and active in the NPI registry since August 2006. He has opted out of Medicare through January 12, 2028.

NPPES Registry Identity

NPI1316954670
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. ERIC M NORDSTROMCredential: DDS, MD
Location Address2041 TRIBUTARY CIRAnchorage, AK 99516-7318
Mailing Address2041 Tributary CirAnchorage, AK 99516-7318 · (503) 545-9249
Phone(503) 545-9249
Sole ProprietorYes
Enumeration DateAugust 1, 2006
Last NPPES UpdateOctober 5, 2015
✔ NPI 1316954670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in AK · MEDS7783
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentistTaxonomy 122300000X · License 1136 (AK)
2041 TRIBUTARY CIR, Anchorage, AK 99516
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Eric M Nordstrom Dds, 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 January 12, 2024 through January 12, 2028.

Opt-Out Effective DateJanuary 12, 2024
Opt-Out In Effect ThroughJanuary 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Eric Nordstrom's NPI number?

The NPI number for Eric Nordstrom is 1316954670. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Eric Nordstrom located?

Eric Nordstrom practices at 2041 Tributary Cir, Anchorage, AK 99516. The listed phone number is (503) 545-9249.

What is Eric Nordstrom's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Eric Nordstrom enrolled in Medicare?

No. Eric Nordstrom has opted out of Medicare through January 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Eric Nordstrom was last updated on October 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.