TYLER CRAIG WILDEY DDS
NPI 1629320353
Dentist in Austin, TX

Q: What is Tyler Wildey's NPI number?

The NPI number for Tyler Wildey is 1629320353. It was assigned to this individual provider in the NPPES registry on October 4, 2012.

Q: What is Tyler Wildey's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Tyler Wildey enrolled in Medicare?

No. Tyler Wildey has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Tyler Wildey was last updated on April 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 04, 2012Opted out of Medicare · through Oct 1, 2026

711 W 38TH ST, SUITE A-1, AUSTIN, TX 78705(512) 498-0104(512) 498-0150 Get Directions Write a Review

NPPES record last updated: April 9, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tyler Craig Wildey Dds NPPES

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

TYLER CRAIG WILDEY DDS (NPI 1629320353) is an individual dentist in Austin, Texas, licensed in Texas (27458) and active in the NPI registry since October 2012. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1629320353

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameTYLER CRAIG WILDEYCredential: DDS

Location Address711 W 38TH ST, SUITE A-1Austin, TX 78705-1121

Mailing Address711 W 38th St, Suite A-1Austin, TX 78705-1121 · (512) 498-0104 · Fax (512) 498-0150

Phone(512) 498-0104

Fax(512) 498-0150

Sole ProprietorNo

Enumeration DateOctober 4, 2012

Last NPPES UpdateApril 9, 2017

✔ NPI 1629320353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TX · 27458

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 0 (TX)

711 W 38TH ST, Austin, TX 78705

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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 Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tyler Craig Wildey Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024

Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$71.95 typical visit price

range $18.88 – $142.23

Typical copayment $17.98 (range $4.72 – $35.55)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

PINE MOUNTAIN CHINESE ACUPUNCTURE & HERB CLINIC

Acupuncturist

711 W 38TH ST, G-3
AUSTIN, TX 78705

Travis County (512) 478-7112

DAVID M TUCKER PH.D.

Clinical Neuropsychologist

711 W 38TH ST, BLDG. F
AUSTIN, TX 78705

Travis County (512) 458-6121

ERIKA DANIELE PT

Physical Therapist (Orthopedic)

711 W 38TH ST, BLDG 3
AUSTIN, TX 78705

Travis County (512) 450-0909

AUSTIN COMPUTER DIAGNOSTICS, LTD.

Clinic/Center (Radiology)

711 W 38TH ST, STE B-7
AUSTIN, TX 78705

Travis County (512) 454-9597

DR. ANDREA L QUARONI DDS MD

Dentist (Oral and Maxillofacial Surgery)

711 W 38TH ST, SUITE A-1
AUSTIN, TX 78705

Travis County (512) 454-1220

JAMIE LOGSDON REESE PT

Physical Therapist

711 W 38TH ST, SUITE C-11
AUSTIN, TX 78705

Travis County (512) 302-3922

DR. SAM B FASON DDS

Dentist (Oral and Maxillofacial Surgery)

711 W 38TH ST, SUITE A-1
AUSTIN, TX 78705

Travis County (512) 454-1220

BROOKE GUNNING MS, RDN, LD

Dietitian, Registered

711 W 38TH ST
AUSTIN, TX 78705

Travis County (512) 257-2500

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 Tyler Wildey's NPI number?

The NPI number for Tyler Wildey is 1629320353. It was assigned to this individual provider in the NPPES registry on October 4, 2012.

Where is Tyler Wildey located?

Tyler Wildey practices at 711 W 38th St Suite A-1, Austin, TX 78705. The listed phone number is (512) 498-0104.

What is Tyler Wildey's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Tyler Wildey enrolled in Medicare?

No. Tyler Wildey has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Tyler Wildey accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental PPO and HRI Dental & Vision and 3 other insurers list Tyler Wildey 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 Tyler Wildey was last updated on April 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.