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DR. ALVIN J STOSICH MD, DDS
NPI 1689795114
Oral & Maxillofacial Surgery in Salt Lake City, UT

Active since April 02, 2007Opted out of Medicare · through Feb 25, 2028
6268 S 900 E, STE 100, SALT LAKE CITY, UT 84121(801) 566-5117(801) 566-5119 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2021, Mar 1, 2021, Apr 10, 2017 (3 updates tracked since 2017).

About Dr. Alvin J Stosich Md, Dds NPPES

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

DR. ALVIN J STOSICH MD, DDS (NPI 1689795114) is an individual oral & maxillofacial surgery provider in Salt Lake City, Utah, licensed in Utah (6434136-1205) and active in the NPI registry since April 2007. He has opted out of Medicare through February 25, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689795114
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. ALVIN J STOSICHCredential: MD, DDS
Location Address6268 S 900 E, STE 100Salt Lake City, UT 84121-2497
Mailing Address6268 S 900 E, Ste 100Salt Lake City, UT 84121-2497 · (801) 566-5117 · Fax (801) 566-5119
Phone(801) 566-5117
Fax(801) 566-5119
Sole ProprietorYes
Enumeration DateApril 2, 2007
Last NPPES UpdateNovember 1, 20213 updates tracked since enumeration
NPPES CertifiedNovember 1, 2021
✔ NPI 1689795114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in UT · 6434136-1205✔ Licensed in NE · 6395
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 ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 6434136-9925 (UT)
6268 S 900 E, Salt Lake City, UT 84121
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

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. Alvin J Stosich Md, Dds 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 February 25, 2018 through February 25, 2028.

Opt-Out Effective DateFebruary 25, 2018
Opt-Out In Effect ThroughFebruary 25, 2028Opt-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.

Other Providers at the Same Location NPPES 4

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

UTAH & ORAL & FACIAL SURGEONS
Dentist (Oral and Maxillofacial Surgery)
6268 S 900 E, 100
SALT LAKE CITY, UT 84121
Salt Lake County (801) 566-5117
ASPIRE SURGICAL
Dentist (Oral and Maxillofacial Surgery)
6268 S 900 E, SUITE 100
SALT LAKE CITY, UT 84121
Salt Lake County (801) 566-5117
WHITE CARD MEDICAL SUPPLY LLC
Durable Medical Equipment & Medical Supplies
6268 S 900 E
MURRAY, UT 84121
Salt Lake County (801) 419-2413
DR. MICHELLE KRISTIN MAAK DMD
Dentist (Oral and Maxillofacial Surgery)
6268 S 900 E, STE 100
SALT LAKE CITY, UT 84121
Salt Lake County (801) 566-5117

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 Alvin Stosich's NPI number?

The NPI number for Alvin Stosich is 1689795114. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Alvin Stosich located?

Alvin Stosich practices at 6268 S 900 E Ste 100, Salt Lake City, UT 84121. The listed phone number is (801) 566-5117.

What is Alvin Stosich's specialty?

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

Is Alvin Stosich enrolled in Medicare?

No. Alvin Stosich has opted out of Medicare through February 25, 2028. 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 Alvin Stosich accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 15 other insurers list Alvin Stosich 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 Alvin Stosich was last updated on November 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.