David Michael Wise, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-022814 Issued in OH

Practice address

1598 Marion Mount Gilead Rd
Marion, OH 43302-5820

Phone

(740) 386-6600

NPI assigned

Jul 10, 2008

Last updated

Jul 10, 2008By 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

Medicare fee-for-service enrollment

Enrolled in OH

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.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Braces One LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Marion, OH
  • NPI 1760618284
  NPD (past)
• Marion Dental Partners LLP

  dba Comfort Dental Marion

  • Dental Clinic/Center
  • Marion, OH
  • NPI 1841520673
  NPD (past)

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1295999126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 W LANE AVE",
            "address_2": "APT 228",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432011000",
            "telephone_number": "614-483-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1598 MARION MOUNT GILEAD RD",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433025820",
            "telephone_number": "740-386-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Winger
• Roger Winger, PHD
• Wings of an Angel
• Laurie Wintz
• Carrie L Wirick, LPCC , LICDC
• Michael S Wolbert
• Jane Irene Wolfe, C.N.P.
• Samuel Conley Wolfe, LPCC
• Douglas A. Woo, MD
• Micah Wood

• General Practice Dentistry in Marion, OH
• Providers in Marion, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.