Kelsey Jordyn Alexandra Wright, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS0000010798 Issued in TN

Practice address

403 E College St
Pulaski, TN 38478-4315

Phone

(931) 363-6441

NPI assigned

Jun 24, 2017

Last updated

Jul 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1498262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1376063909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E COLLEGE ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784315",
            "telephone_number": "931-363-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E COLLEGE ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784315",
            "telephone_number": "931-363-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KELSEY",
        "middle_name": "JORDYN ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-24",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS0000010798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Jane Williams, HIS
• Rachel Michele Wolfe, DPT
• Women's Complete Healthcare, PLLC
• Maria Emelita Noel Wong, P.T.
• Lorrell Elizabeth Woodard
• Wynn Gynecology & Obstetrics, PLLC
• Katherine Zerit, MA, CCC-SLP
• Mohamed Ziauddin, M.D.

• General Practice Dentistry in Pulaski, TN
• Providers in Pulaski, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.