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WESLEY D. CARLISLE MD, DMD
NPI 1346627445
Oral & Maxillofacial Surgery in Shreveport, LA

Active since April 28, 2015PECOS Enrolled
915 SHREVEPORT BARKSDALE HWY, SHREVEPORT, LA 71105(318) 865-0249(318) 869-0026 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 19, 2021, Jun 17, 2018 (2 updates tracked since 2018).

About Wesley D. Carlisle Md, Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESLEY D. CARLISLE MD, DMD (NPI 1346627445) is an individual oral & maxillofacial surgery provider in Shreveport, Louisiana, licensed in Louisiana (302556) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346627445
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameWESLEY D. CARLISLECredential: MD, DMD
Location Address915 SHREVEPORT BARKSDALE HWYShreveport, LA 71105-2205
Mailing Address915 Shreveport Barksdale HwyShreveport, LA 71105-2205 · (318) 865-0249 · Fax (318) 869-0026
Phone(318) 865-0249
Fax(318) 869-0026
Sole ProprietorNo
Enumeration DateApril 28, 2015
Last NPPES UpdateAugust 19, 20212 updates tracked since enumeration
NPPES CertifiedAugust 19, 2021
✔ NPI 1346627445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in LA · 302556
Definition
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.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 7256 (LA)
915 SHREVEPORT BARKSDALE HWY, Shreveport, LA 71105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Delta Dental, Florida Combined Life and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wesley D. Carlisle Md, Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHREVEPORT CENTER FOR ORAL AND FACIAL SURGERY, L.L.C.
Oral & Maxillofacial Surgery
915 SHREVEPORT BARKSDALE HWY
SHREVEPORT, LA 71105
Caddo Parish (318) 865-0249
DR. WALTER JOSEPH JAMES D.D.S. , M.D.
Oral & Maxillofacial Surgery
915 SHREVEPORT BARKSDALE HWY
SHREVEPORT, LA 71105
Caddo Parish (318) 865-0249

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wesley Carlisle's NPI number?

The NPI number for Wesley Carlisle is 1346627445. It was assigned to this individual provider in the NPPES registry on April 28, 2015.

Where is Wesley Carlisle located?

Wesley Carlisle practices at 915 Shreveport Barksdale Hwy, Shreveport, LA 71105. The listed phone number is (318) 865-0249.

What is Wesley Carlisle's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Wesley Carlisle enrolled in Medicare?

Yes. Wesley Carlisle is registered in the Medicare PECOS enrollment system.

What insurance does Wesley Carlisle accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Delta Dental, Florida Combined Life, Guardian and HMO Louisiana and 1 other insurer list Wesley Carlisle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wesley Carlisle was last updated on August 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.