Organization Active NPI

Smile Wright Xenia LLC

  • Dental Clinic/Center
  • Xenia, OH
National Provider Identifier
1295386738
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILE WRIGHT XENIA LLC
Practice address
20 King Ave
Xenia, OH 45385-2214
Phone
(937) 322-5437
Fax
(937) 322-5401
NPI assigned
Sep 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Authorized official

Name
Dr. Amber N Wright, DDS
Title
Dentist
Phone
(937) 322-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

20 King Ave
Xenia, OH 45385-2214

Mailing address

1627 Selma Rd
Springfield, OH 45505-4245
Phone (937) 322-5437

Other identifiers 2

IdentifierTypeStateIssuer
1356399794OtherOHNPI
2488188MedicaidOH

National Provider Directory

National Provider Directory

Locations

20 King Ave
Xenia, OH 45385
Phone (937) 322-5437

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1295386738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 SELMA RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455054245",
            "telephone_number": "937-322-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 KING AVE",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453852214",
            "telephone_number": "937-322-5437",
            "fax_number": "937-322-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE WRIGHT XENIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "937-322-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356399794",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2488188",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Xenia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.