Kyley Alan Wood, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12009891A Issued in IN

Practice address

2005 Saint Charles St
Suite #2
Jasper, IN 47546-9146

Phone

(812) 482-2280

Fax

(812) 482-4218

NPI assigned

Jan 31, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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 IN

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

Specialty

Oral Surgery

Education

Indiana University School of Dentistry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Monesmith and Wood Oral and Maxillofacial Surgery PCGroup PAC ID 5496709149, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital and Health Care Center Hospital, Jasper, IN, CCN 150115

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Monesmith & Wood Oral and Maxillofacial Surgery PC

  dba Matthew B Monesmith DDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Jasper, IN
  • NPI 1205854791
  Medicare reassignment Care Compare group NPD
• Indiana Oral & Maxillofacial Surgery Associates PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Fishers, IN
  • NPI 1407809585
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Deaconess Memorial Medical Center, Inc.

  dba Memorial Hospital & Health Care Center

  • General Acute Care Hospital
  • Jasper, IN
  • NPI 1003895947
  Care Compare affiliation

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407993181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 SAINT CHARLES ST",
            "address_2": "SUITE #2",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475469146",
            "telephone_number": "812-482-2280",
            "fax_number": "812-482-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 SAINT CHARLES ST",
            "address_2": "SUITE #2",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475469146",
            "telephone_number": "812-482-2280",
            "fax_number": "812-482-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "KYLEY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12009891A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Joseph Wilson, H.I.S.
• Kathryn Wilz, MS, OTR/L
• Marilyn Winkel, MS, OTR
• Brian James Woebkenberg, M.D.
• Michael A Wohlberg, MD
• Peggy Lynn Wood, CRNA
• Martha F Yearsley, M.D.
• Dana Young
• Kelly Elizabeth Young, D.D.S.
• Stephanie Young, PTA

• Oral and Maxillofacial Surgery (Dentist) in Jasper, IN
• Providers in Jasper, IN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.