Active NPI
Donald Johnston Wright, DDS
- General Practice Dentistry
- Eden, NC
National Provider Identifier
1285829796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6109
- Practice address
- 407 S Van Buren Rd
Eden, NC 27288-5069 - Phone
- (336) 623-8404
- Fax
- (336) 623-3929
- NPI assigned
- Sep 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6109 | NC | Primary |
Addresses
Primary practice location
407 S Van Buren Rd
Eden, NC 27288-5069
Mailing address
407 South Van Buren Road
Eden, NC 27288
Phone (336) 623-8404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8999580 | Medicaid | NC |
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 |
|---|---|---|---|
| 6109 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189123200000",
"number": "1285829796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 SOUTH VAN BUREN ROAD",
"city": "EDEN",
"state": "NC",
"postal_code": "27288",
"telephone_number": "336-623-8404",
"fax_number": "336-623-3929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 S VAN BUREN RD",
"city": "EDEN",
"state": "NC",
"postal_code": "272885069",
"telephone_number": "336-623-8404",
"fax_number": "336-623-3929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "DONALD",
"middle_name": "JOHNSTON",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-07",
"last_updated": "2007-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "6109",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8999580",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.