Active NPI
Courtney Wright, DDS
- Dentist
- Lemoore, CA
National Provider Identifier
1457015547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN122484
- Practice address
- 937 Franklin Blvd
Lemoore, CA 93246-4700 - Phone
- (559) 998-4220
- NPI assigned
- Oct 26, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN122484 | GA | Primary |
Addresses
Primary practice location
937 Franklin Blvd
Lemoore, CA 93246-4700
Mailing address
200 Riverside Ave Unit 542
Jacksonville, FL 32202-4986
Other practice location 1
Building 964A Enterprise Street
Jacksonville, FL 32212
Phone (904) 546-7100
Other names 1
- N/a N/a
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 |
|---|---|---|---|
| DN122484 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1457015547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 RIVERSIDE AVE UNIT 542",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322024986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "937 FRANKLIN BLVD",
"city": "LEMOORE",
"state": "CA",
"postal_code": "932464700",
"telephone_number": "559-998-4220"
}
],
"practiceLocations": [
{
"address_1": "Building 964A Enterprise Street",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "32212",
"country_code": "US",
"telephone_number": "904-546-7100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WRIGHT",
"first_name": "COURTNEY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-26",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN122484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "N/A",
"last_name": "N/A",
"credential": "DDS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lemoore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.