Active NPI
Wright Pediatric Dentistry
- Pediatric Dentistry
- Ooltewah, TN
National Provider Identifier
1093286304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Wright, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568658185 | Other | NPI | |
| 1225550965 | Other | NPI | |
| 1962882878 | Other | NPI | |
| Q046348 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Dentistry
- Ooltewah, TN
- NPI 1962882878
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.