Wahlstrom Surgical Arts

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

WAHLSTROM SURGICAL ARTS

Doing business as

Scottsdale Surgical Arts

Practice address

10603 N Hayden Rd Ste H112
Scottsdale, AZ 85260-5679

Phone

(480) 922-9933

NPI assigned

Jun 5, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Devin Wahlstrom, DMDNPI 1740656313

Title

Owner/Oral Surgeon

Phone

(503) 752-2909

Specialties & licenses 1

Addresses

Other names 1

• Scottsdale Surgical Arts Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Devin Wahlstrom

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Scottsdale, AZ
  • NPI 1740656313

  Single Specialty

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1720972664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10603 N HAYDEN RD STE H112",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605679",
            "telephone_number": "480-922-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10603 N HAYDEN RD STE H112",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605679",
            "telephone_number": "480-922-9933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2935 Southwest Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sedona",
            "state": "AZ",
            "postal_code": "863363797",
            "country_code": "US",
            "telephone_number": "480-922-9933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WAHLSTROM SURGICAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "WAHLSTROM",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "OWNER/ORAL SURGEON",
        "authorized_official_telephone_number": "503-752-2909",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scottsdale Surgical Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison Wagner, DC
• Sophie Wagner, RBT
• Madison Wagoner
• Mona Waheed, IBCLC
• Peyton Wahl
• Devin Wahlstrom
• Phyllis Waigwa, RN
• Ashley Wain, PDCD
• Thomas Darcy Wais, D.D.S.
• Charles E Wait, DDS

• Oral & Maxillofacial Surgery (D.M.D.) in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.