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DEVIN WAHLSTROM
NPI 1740656313
Oral & Maxillofacial Surgery in Scottsdale, AZ

Active since August 18, 2015Opted out of Medicare · through Sep 15, 2027
10603 N HAYDEN RD STE H112, SCOTTSDALE, AZ 85260(480) 922-9933 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 4, 2025, Jun 25, 2025, Apr 10, 2023 and 1 more (4 updates tracked since 2021).

About Devin Wahlstrom NPPES

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

DEVIN WAHLSTROM (NPI 1740656313) is an individual oral & maxillofacial surgery provider in Scottsdale, Arizona, licensed in Arizona (12395) and active in the NPI registry since August 2015. He has opted out of Medicare through September 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1740656313
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDEVIN WAHLSTROM
Location Address10603 N HAYDEN RD STE H112Scottsdale, AZ 85260-5679
Mailing Address10603 N Hayden Rd Ste H112Scottsdale, AZ 85260-5679 · (480) 922-9933
Phone(480) 922-9933
Sole ProprietorYes
Enumeration DateAugust 18, 2015
Last NPPES UpdateSeptember 4, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1740656313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in AZ · 12395✔ Licensed in TX · 37111✔ Licensed in OR · 10331
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.
10603 N HAYDEN RD STE H112, Scottsdale, AZ 85260
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Arizona, Humana.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

Devin Wahlstrom 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 September 15, 2025 through September 15, 2027.

Opt-Out Effective DateSeptember 15, 2025
Opt-Out In Effect ThroughSeptember 15, 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.

Other Providers at the Same Location NPPES

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

WAHLSTROM SURGICAL ARTS
Oral & Maxillofacial Surgery
10603 N HAYDEN RD STE H112
SCOTTSDALE, AZ 85260
Maricopa County (480) 922-9933

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 Devin Wahlstrom's NPI number?

The NPI number for Devin Wahlstrom is 1740656313. It was assigned to this individual provider in the NPPES registry on August 18, 2015.

Where is Devin Wahlstrom located?

Devin Wahlstrom practices at 10603 N Hayden Rd Ste H112, Scottsdale, AZ 85260. The listed phone number is (480) 922-9933.

What is Devin Wahlstrom's specialty?

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

Is Devin Wahlstrom enrolled in Medicare?

No. Devin Wahlstrom has opted out of Medicare through September 15, 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 Devin Wahlstrom accept?

Health plans from Delta Dental of Arizona and Humana list Devin Wahlstrom 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 Devin Wahlstrom was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.