Individual provider Active NPI

Cassandra Kathleen Wright, DDS

  • Dentist
  • Bolling Afb, DC
National Provider Identifier
1235128604
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401410559 Issued in VA
Practice address
238 Brookley Ave
Bolling Afb, DC 20332-0001
Phone
(202) 404-5519
NPI assigned
Oct 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401410559 VA Primary

Addresses

Primary practice location

238 Brookley Ave
Bolling Afb, DC 20332-0001

Mailing address

9701 Sheet CT
Cheltenham, MD 20623-1349
Phone (301) 372-3535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220929000006 DC Practitioner - Dentist 2769781723 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401410559VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Care Inc. CurrentSince Jun 17, 2022 Accepting new patients
Unity Health Care, Inc. CurrentSince Jun 17, 2022 Accepting new patients

Locations

1100 New Jersey Ave SE
Ste 500
Washington, DC 20003
Phone (202) 279-1817

3020 14th St NW
Washington, DC 20009
Phone (202) 745-4300

765 Kenilworth Ter NE
Washington, DC 20019
Phone (202) 388-8160

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

Interoperability endpoints

  • Direct secure messaging: cassandra.wright@uhci.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1235128604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 SHEET CT",
            "city": "CHELTENHAM",
            "state": "MD",
            "postal_code": "206231349",
            "telephone_number": "301-372-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 BROOKLEY AVE",
            "city": "BOLLING AFB",
            "state": "DC",
            "postal_code": "203320001",
            "telephone_number": "202-404-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "CASSANDRA",
        "middle_name": "KATHLEEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401410559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolling Afb, DC

Sources for this page

Verify at the official NPI Registry.