Kyle S Wylde, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-023918 Issued in OH

Practice address

137 Damascus Rd
Marysville, OH 43040-9618

Phone

(937) 644-8822

NPI assigned

May 17, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Darby Creek Dental, Inc. - David W. Cleveland, D.D.S.

  • General Practice Dentistry
  • Marysville, OH
  • NPI 1720251200
  NPD (past)

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1649616616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 SASSAFRAS LN",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 DAMASCUS RD",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430409618",
            "telephone_number": "937-644-8822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5749 Cambrooke Ct",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430163537",
            "country_code": "US",
            "telephone_number": "614-917-7527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYLDE",
        "first_name": "KYLE",
        "middle_name": "S",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-023918",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-023918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wings Enrichment Center
• Wings Support and Recovery
• Tabitha Wolfe
• Robin L Wright
• Elizabeth Wyatt
• Alison Wynne
• Shelley Lynn Wyse, P.A.-C
• Misha Dilip Yajnik, M.D.
• Samuel D. Yang, MD
• Karen Yee

• General Practice Dentistry in Marysville, OH
• Providers in Marysville, 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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.