Kyle Diluzio, MD, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

11822 Issued in TN

Practice address

445 Henslee Dr
Dickson, TN 37055-2166

Phone

(615) 441-1441

Fax

(615) 697-6546

NPI assigned

Mar 28, 2016

Last updated

Nov 16, 2022By 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 TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral SurgeryAlso: Maxillofacial Surgery

Education

University of Alabama School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McKenzie Oral and Facial Surgery PLLCGroup PAC ID 5991038523, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• McKenzie Oral and Facial Surgery PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Dickson, TN
  • NPI 1922568666
  Medicare reassignment Care Compare group
• Oral and Facial Surgery Center of Dickson, PLLC

  • Ambulatory Surgical Clinic/Center
  • Dickson, TN
  • NPI 1285321307
  Medicare reassignment NPD
• Maximize Oral Surgery Management

  dba Mid-State Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Dickson, TN
  • NPI 1043921851
  NPD (past)

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1548622632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 HENSLEE DR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552166",
            "telephone_number": "615-441-1441",
            "fax_number": "615-697-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 HENSLEE DR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552166",
            "telephone_number": "615-441-1441",
            "fax_number": "615-697-6546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "237 Dunbar Cave Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370438852",
            "country_code": "US",
            "telephone_number": "615-447-1441",
            "fax_number": "615-697-6546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7640 Hwy 70 S Ste 104",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372211758",
            "country_code": "US",
            "telephone_number": "615-441-1441",
            "fax_number": "615-697-6546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILUZIO",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "MD, DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "11822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dickson Orthotics & Prosthetics
• Dickson Pain and Wellness PLLC
• Dickson Pediatric Dentistry PLLC
• Dickson Recovery Center, LLC
• Dickson Surgical Partners (Dickson Ambulatory Surgery Center)
• Juan S Dinkins, DO
• Martha Ann Disch, COTA
• Elizabeth Carol Diveley, LCSW
• DMRX LLC (Dickson Medical Pharmacy)
• Taylor Dodson

• Oral and Maxillofacial Surgery (Dentist) in Dickson, TN
• Providers in Dickson, TN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.