Individual provider Active NPI

Boyd Anderson Wright, D.D.S.

  • Dentist
  • Dallas, TX
National Provider Identifier
1093973737
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21996 Issued in TX
Practice address
14012 Falls Creek CT
Dallas, TX 75254-3501
Phone
(972) 991-2788
Fax
(972) 934-1029
NPI assigned
May 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 21996 TX Primary

Addresses

Primary practice location

14012 Falls Creek CT
Dallas, TX 75254-3501

Mailing address

4140 Lemmon Ave
Suite 290
Dallas, TX 75219-3738
Phone (214) 599-0778

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

LicenseStateTypeSpecialty
21996TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1093973737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 LEMMON AVE",
            "address_2": "SUITE 290",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752193738",
            "telephone_number": "214-599-0778",
            "fax_number": "214-599-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14012 FALLS CREEK CT",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752543501",
            "telephone_number": "972-991-2788",
            "fax_number": "972-934-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "BOYD",
        "middle_name": "ANDERSON",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "21996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.