Active NPI
Craig Jackson Wright, D.D.S.
- Dentist
- Yucaipa, CA
National Provider Identifier
1194882894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 34016
- Practice address
- 33490 Oak Glen Rd Ste F
Yucaipa, CA 92399-2095 - Phone
- (909) 790-9300
- Fax
- (909) 797-2600
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 34016 | CA | Primary |
| Dentist | 122300000X | 145483-9922 | UT |
Addresses
Primary practice location
33490 Oak Glen Rd Ste F
Yucaipa, CA 92399-2095
Mailing address
33490 Oak Glen Rd Ste F
Yucaipa, CA 92399-2095
Phone (909) 790-9300
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
| License | State | Type | Specialty |
|---|---|---|---|
| 145483-9922 | UT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269216000000",
"number": "1194882894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33490 OAK GLEN RD STE F",
"city": "YUCAIPA",
"state": "CA",
"postal_code": "923992095",
"telephone_number": "909-790-9300",
"fax_number": "909-797-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33490 OAK GLEN RD STE F",
"city": "YUCAIPA",
"state": "CA",
"postal_code": "923992095",
"telephone_number": "909-790-9300",
"fax_number": "909-797-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "CRAIG",
"middle_name": "JACKSON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2010-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "34016",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "145483-9922",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yucaipa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.