Individual provider Active NPI

Holland Boyd Wright II, D.M.D., MS

  • Periodontics
  • Albany, GA
National Provider Identifier
1447308085
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN012886 Issued in GA
Practice address
1503 W 3Rd Ave
Albany, GA 31707-3647
Phone
(229) 883-1600
Fax
(229) 883-0925
NPI assigned
Jan 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DN012886 GA Primary

Addresses

Primary practice location

1503 W 3Rd Ave
Albany, GA 31707-3647

Mailing address

1503 W 3Rd Ave
Albany, GA 31707-3647
Phone (229) 883-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20151104002353 GA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5092025973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447308085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 W 3RD AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073647",
            "telephone_number": "229-883-1600",
            "fax_number": "229-883-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 W 3RD AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073647",
            "telephone_number": "229-883-1600",
            "fax_number": "229-883-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "HOLLAND",
        "middle_name": "BOYD",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.M.D., MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "DN012886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.