Juliet Adobea Wryter, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401414175 Issued in VA

Practice address

5002 Airport Rd NW Unit 130
Roanoke, VA 24012-1607

Phone

(540) 362-5437

Fax

(540) 362-8997

NPI assigned

Jul 5, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Roanoke Smiles Youth Dentistry, LLC

  • General Practice Dentistry
  • Roanoke, VA
  • NPI 1851489116
  NPD (past)

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1104181254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 AIRPORT RD NW UNIT 130",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240121607",
            "telephone_number": "540-362-5437",
            "fax_number": "540-362-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 AIRPORT RD NW UNIT 130",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240121607",
            "telephone_number": "540-362-5437",
            "fax_number": "540-362-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRYTER",
        "first_name": "JULIET",
        "middle_name": "ADOBEA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104181254",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Alexander Wright
• Nicholas Lyndon Wright, MD
• Robin Hurt Wright, FNP-BC
• Sandy Mae Wright, MT-BC
• Savannah E Wright, PA-C
• WSSH Powerback Rehabilitation Services, LLC
• Kainuo Wu
• Tara Wu, LPC
• Winston Wu, MD
• Ashley Wyatt

• Dentist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.