DAVID P. WISE MD, DDS – NPI #1154385185
Oral & Maxillofacial Surgery

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

DAVID WISE is an oral & maxillofacial surgeon located in CHARLESTON, WV. NPPES has assigned the NPI number 1154385185 to DAVID WISE on April 14, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 5 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 204E00000X from the Health Care Provider Taxonomy code set, which is classified as Oral & Maxillofacial Surgery.

The NPI profile was previously updated about 3 years ago on Jun 20, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DAVID WISE below.

NPI Profile for
DAVID P. WISE

NPI Number
1154385185
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DAVID P. WISE
Credentials
MD, DDS
Primary location
415 MORRIS ST STE 309
CHARLESTON, WV 25301-1853
Phone: (304) 388-3290 Fax: (304) 388-3186
5 Other location(s):
1220 Lee St E
Charleston, WV 25301-1863
Phone: (304) 388-1800
Fax: (304) 388-1825
3200 MacCorkle Ave SE
Charleston, WV 25304-1297
Phone: (304) 388-5432
501 Morris St
Charleston, WV 25301-1326
Phone: (304) 647-6006
800 Pennsylvania Ave
Charleston, WV 25302-3351
Phone: (304) 388-5432
830 Pennsylvania Ave Ste 302
Charleston, WV 25302-3390
Phone: (304) 388-5950
Fax: (304) 388-2951
Mailing address
415 MORRIS ST SUITE 309
CHARLESTON, WV 25301-1953
Phone: (304) 388-3290 Fax: (304) 388-3186
Sole Proprietor
No
Updated
Certification Date
Jun 20, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DAVID WISE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherRAILROAD MEDICARE850000198
medicaidWV0047377-001
medicaidWV0047377000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204E00000X
- Oral & Maxillofacial Surgery (Primary)
WV 18520
1223S0112X
- Dentist / Oral and Maxillofacial Surgery
WV 3328

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE - Graduated 1993
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
DAVID WISE is affiliated with the following medical group(s):
  • HOSPITAL
    • CHARLESTON AREA MEDICAL CENTER
      501 MORRIS STREET
      CHARLESTON, WV 25301

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If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.