Individual provider Active NPI

Jared Eric Dye, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Hutchinson, KS
National Provider Identifier
1710270590
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D1074 Issued in SD
Practice address
2301 N Waldron St
Hutchinson, KS 67502-1133
Phone
(620) 663-1141
Fax
(620) 663-1373
NPI assigned
May 26, 2011
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D1074 SD Primary

Addresses

Primary practice location

2301 N Waldron St
Hutchinson, KS 67502-1133

Mailing address

2301 N Waldron St
Hutchinson, KS 67502-1133
Phone (620) 663-1141

Other practice location 1

1919 N Maize Rd
Wichita, KS 67212-5212
Phone (316) 721-4890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20201229002482 KS Practitioner - Oral Surgery 4688989569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Univ of Nevada, Las Vegas School of Dental Med, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Southwind Oral and Facial Surgery LLCGroup PAC ID 7517378524, 2 clinicians

Practice addresses (Care Compare)

2301 N Waldron St
Hutchinson, KS 67502-1133
Phone (620) 663-1141

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D1074SDMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Southwind Oral and Facial Surgery LLC Oral and Maxillofacial Surgery CurrentSince Sep 1, 2020 Accepting new patients
W.R. Whitlow, D.D.S., PA Oral and Maxillofacial Surgery CurrentSince Dec 6, 2020 Accepting new patients
Oral Surgery Assocates, P.C. Oral and Maxillofacial Surgery PastSince Nov 3, 2019 Accepting new patients

Locations

2301 N Waldron St
Hutchinson, KS 67502
Phone (620) 663-1141

1919 N Maize Rd
Wichita, KS 67212
Phone (316) 721-4890

1919 N Maize Rd
Ste 200
Wichita, KS 67212
Phone (316) 721-4890

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1710270590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 N WALDRON ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021133",
            "telephone_number": "620-663-1141",
            "fax_number": "620-663-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N WALDRON ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021133",
            "telephone_number": "620-663-1141",
            "fax_number": "620-663-1373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 N Maize Rd",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672125212",
            "country_code": "US",
            "telephone_number": "316-721-4890",
            "fax_number": "316-721-1529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYE",
        "first_name": "JARED",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-26",
        "last_updated": "2021-09-02",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SD",
            "license": "D1074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

Verify at the official NPI Registry.