Craig A Wisler

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8632 Issued in IN

Practice address

2102 W 2ND St
Marion, IN 46952-3252

Phone

(765) 573-6537

Fax

(765) 382-0529

NPI assigned

Jul 27, 2006

Last updated

May 21, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 25, 2019 through Jul 25, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Half Price Dental, LLC

  • General Practice Dentistry
  • Marion, IN
  • NPI 1225432495
  NPD (past) Authorized official

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1245254853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 W 2ND ST",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469523252",
            "telephone_number": "765-573-6537",
            "fax_number": "765-382-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 W 2ND ST",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469523252",
            "telephone_number": "765-573-6537",
            "fax_number": "765-382-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISLER",
        "first_name": "CRAIG",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "8632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300108583",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shayla Wilson
• Vanessa Kim Wilson, RPH
• Zoey Wilson
• Wing EMS LLC (Wing EMS)
• Amanda Diane Wisener
• With Dignity Too LLC
• Jaclyn Witte, LSW
• Paul D Wolfe, MD
• Margaret Jane Wolter
• Karen E Wood-Belford, APRN-CNP, FNP-C

• General Practice Dentistry in Marion, IN
• Providers in Marion, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.