NPPES file of Aug 9, 2026

Maxwell Theodore Dismuke, DDS

Dentist · Redway, CA

Maxwell Theodore Dismuke, DDS is a dentist with a practice address in Redway, California, and NPI 1235098005, issued on Jan 19, 2026. Check the license (California 112497, as entered in NPPES) with the California board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1235098005
Name
Maxwell Theodore Dismuke
Credential
DDS
Primary taxonomy
Dentist 122300000X
License number
112497 CA
Self-reported in NPPES; status is on the state search
Practice location
101 West Coast RD, Redway, CA 95560
Phone
(707) 923-2783
Enumerated
Jan 19, 2026
Record last updated
Apr 21, 2026
Medicare enrollment
Enrolled (PECOS I20260501002118); may accept Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest dentist records → All 14,729 in California → Look up another NPI →

Also registered at 101 West Coast RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Marilyn Foote, LCSWSocial Worker1689748147
  2. Morgan HinesMedical Physician Assistant1013482231
  3. James HollandClinical Social Worker1467945253
  4. Jami Johnson, L.M.Midwife1740713452
  5. Ronald Kehl, DDSDentist1740514645
  6. Megan McCormack, HYGIENTISTDental Hygienist1124242888

Verify Maxwell Theodore Dismuke in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license 112497    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the California license search

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Maxwell Theodore Dismuke among 14,729 dentist records in California

Maxwell Theodore Dismuke, DDS is one of 14,729 dentist records with a practice address in California. 56% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2026, is newer than 98% of them.

  • NPI issued2026 · 98% of these records are older, 0% newer
  • In a Medicare fileNo · 56% of these records are
  • In the CMS Doctors and Clinicians fileYes · under 1% of these records are
  • Graduated2025 · median 2015 among the 113 with a school on file
  • Record last updated2026 · 73% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 122300000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

4 dentist records list a practice address in Redway

They are 4 of the 35 NPPES records with a practice address in Redway, and 14,729 dentist records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 14,729 in California → Every provider in Redway → Dentist nationwide →

The 8 dentist records with the nearest ZIP codes

  1. Ronald Kehl, DDSRedway, CA 955601740514645
  2. Renettra Morris, D.D.SRedway, CA 955601053851345
  3. Matthew Winkle, DDSRedway, CA 955601689764136
  4. Michael Shin, D.D.S.Rio Dell, CA 955621306964754
  5. Kirk Petersen, D.M.D.Smith River, CA 955671285638106
  6. Mark Rizk, DDSSmith River, CA 955671881214203
  7. John Wassenmiller, D.D.S.Smith River, CA 955671518157866
  8. John Greenwood, DDSWillow Creek, CA 955731760694517

Common questions

What is Maxwell Theodore Dismuke, DDS's NPI number?

Maxwell Theodore Dismuke, DDS's National Provider Identifier (NPI) is 1235098005, issued on Jan 19, 2026. An NPI identifies a provider in billing; it is not a license.

Where is Maxwell Theodore Dismuke, DDS located?

The NPPES record lists a practice address at 101 West Coast RD, Redway, CA, 95560. Phone: (707) 923-2783. Providers update this record themselves, so call before visiting.

How can I verify Maxwell Theodore Dismuke, DDS's license?

NPPES lists California license number 112497, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.