Individual provider Active NPI

Whitney Boyle Wright, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Grand Junction, CO
National Provider Identifier
1336458694
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
8179 Issued in AZ
Practice address
2794 Cortland Ave
Grand Junction, CO 81506-8435
Phone
(720) 299-9903
NPI assigned
Oct 4, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 8179 AZ Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 10013 CO

Addresses

Primary practice location

2794 Cortland Ave
Grand Junction, CO 81506-8435

Mailing address

2794 Cortland Ave
Grand Junction, CO 81506-8435
Phone (720) 299-9903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20161104001423 AZ Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 6507144920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8179AZMDOrthodontics and Dentofacial Orthopedic Dentist
10013COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Risas Dental Management LLC Current Accepting new patients

Organizations & group practices 1

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": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1336458694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2794 CORTLAND AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068435",
            "telephone_number": "720-299-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2794 CORTLAND AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068435",
            "telephone_number": "720-299-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "WHITNEY",
        "middle_name": "BOYLE",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-04",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "8179",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "10013",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.