Organization Active NPI

Wright Pediatric Dentistry

  • Pediatric Dentistry
  • Ooltewah, TN
National Provider Identifier
1093286304
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
WRIGHT PEDIATRIC DENTISTRY
Practice address
8202 Apison Pike
Ooltewah, TN 37363
Phone
(615) 636-1258
NPI assigned
Dec 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Stephen Wright, DDSNPI 1962882878
Title
Owner
Phone
(423) 315-6828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

8202 Apison Pike
Ooltewah, TN 37363

Mailing address

8202 Apison Pike Ste 202
Ooltewah, TN 37363-8449
Phone (423) 910-3055

Other practice location 1

4300 Peerless Rd NW Ste 202
Cleveland, TN 37312-3730
Phone (423) 910-3055

Other identifiers 4

IdentifierTypeStateIssuer
1568658185OtherNPI
1225550965OtherNPI
1962882878OtherNPI
Q046348MedicaidTN

National Provider Directory

National Provider Directory

Locations

8202 Apison Pike
Ooltewah, TN 37363
Phone (615) 636-1258

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1544659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1093286304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 APISON PIKE STE 202",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373638449",
            "telephone_number": "423-910-3055",
            "fax_number": "423-910-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 APISON PIKE",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "37363",
            "telephone_number": "615-636-1258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Peerless Rd NW Ste 202",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373123730",
            "country_code": "US",
            "telephone_number": "423-910-3055",
            "fax_number": "423-910-9022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WRIGHT PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-13",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-315-6828",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1568658185",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225550965",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962882878",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q046348",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.