Kyley Alan Wood, D.D.S.
Individual provider Active NPI Oral and Maxillofacial Surgery (Dentist) · Jasper, IN
NPI 1407993181 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407993181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- 12009891A (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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 PC
Practice addresses (Care Compare)
2005 Saint Charles St
Jasper, IN 47546-2270
Phone (812) 482-2280
Hospital & facility affiliations
- Memorial Hospital and Health Care Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050307000347 | IN | Practitioner - Oral Surgery | 0749234318 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monesmith & Wood Oral and Maxillofacial Surgery PC | Oral and Maxillofacial Surgery | Current |
Accepting new patients |
| Indiana Oral & Maxillofacial Surgery Associates PC | Oral and Maxillofacial Surgery | Past |
Accepting new patients |
Locations
2005 Saint Charles St
Ste 2
Jasper, IN 47546
Phone (812) 482-2280
2005 Saint Charles St
#B
Jasper, IN 47546
Phone (812) 482-2280
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 12009891A | IN | Yes |
Addresses
Primary practice location
2005 Saint Charles St
Suite #2
Jasper, IN 47546-9146
Mailing address
2005 Saint Charles St
Suite #2
Jasper, IN 47546-9146
Phone (812) 482-2280
Other providers in Jasper, IN
- Robert Joseph Wilson
- Kathryn Wilz
- Marilyn Winkel
- Brian James Woebkenberg
- Michael A Wohlberg
- Peggy Lynn Wood
- Martha F Yearsley
- Dana Young
- Kelly Elizabeth Young
- Stephanie Young
All providers in Jasper, IN · Oral and Maxillofacial Surgery (Dentist) in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.