Individual provider Active NPI

Bradley C Wright, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Hutchinson, KS
National Provider Identifier
1043228398
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0190192233 Issued in IL
Practice address
2301 N. Waldron
Hutchinson, KS 67502-1133
Phone
(620) 663-1141
Fax
(620) 663-1373
NPI assigned
Aug 3, 2006
Last updated
Apr 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0190192233 IL Primary

Addresses

Primary practice location

2301 N. Waldron
Hutchinson, KS 67502-1133

Mailing address

2301 N. Waldron
Hutchinson, KS 67502-1133
Phone (620) 663-1141

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0190192233ILMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
W.R. Whitlow, D.D.S., PA Oral and Maxillofacial Surgery PastSince Sep 1, 2015 Accepting new patients
Midland Oral Surgery and Implant Centers, LTD Oral and Maxillofacial Surgery Past Accepting new patients
Midland Oral Surgery and Implant Centers, LTD Oral and Maxillofacial Surgery Past Accepting new patients
Midland Oral Surgery and Implant Centers, LTD Oral and Maxillofacial Surgery Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1043228398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 N. WALDRON",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021133",
            "telephone_number": "620-663-1141",
            "fax_number": "620-663-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N. WALDRON",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021133",
            "telephone_number": "620-663-1141",
            "fax_number": "620-663-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "BRADLEY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "0190192233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.