TYLER CRAIG WILDEY DDS
NPI 1629320353
Dentist in Austin, TX

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: July 19, 2026.

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
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

Accepted 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.

Clinical Neuropsychologist
711 W 38TH ST, SUITE D-3
AUSTIN, TX 78705
Specialist
711 W 38TH ST, D-4
AUSTIN, TX 78705
Dentist (Oral and Maxillofacial Surgery)
711 W 38TH ST, SUITE A-1
AUSTIN, TX 78705
Dentist (Oral and Maxillofacial Surgery)
711 W 38TH ST, SUITE A-1
AUSTIN, TX 78705
Dentist (Oral and Maxillofacial Surgery)
711 W 38TH ST, SUITE A-1
AUSTIN, TX 78705
Dentist (General Practice)
711 W 38TH ST, STE D2
AUSTIN, TX 78705
Internal Medicine
711 W 38TH ST, SUITE C5
AUSTIN, TX 78705
Clinical Neuropsychologist
711 W 38TH ST, BLDG. F
AUSTIN, TX 78705

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629320353, enumerated as an "individual" on October 04, 2012.

The provider is located at 711 W 38TH ST SUITE A-1 AUSTIN, TX 78705 and the phone number is (512) 498-0104.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.