Active NPI
Gary Joe Wright, DDS
- General Practice Dentistry
- Austin, TX
National Provider Identifier
1033694484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13294
- Practice address
- 3401 Webberville Rd RM 8149
Austin, TX 78702-3004 - Phone
- (512) 223-5717
- NPI assigned
- Oct 2, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13294 | TX | Primary |
Addresses
Primary practice location
3401 Webberville Rd RM 8149
Austin, TX 78702-3004
Mailing address
3105 Madisina Dr
Cedar Park, TX 78641-2639
Phone (512) 223-5717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13294 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538438400000",
"number": "1033694484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3105 MADISINA DR",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786412639",
"telephone_number": "512-223-5717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 WEBBERVILLE RD RM 8149",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787023004",
"telephone_number": "512-223-5717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "GARY",
"middle_name": "JOE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-02",
"last_updated": "2018-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "13294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.