Individual provider Active NPI

Charles Reese Wright, DDS

  • Dentist
  • Lantana, FL
National Provider Identifier
1457529901
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN7350 Issued in FL
Practice address
1280 W Lantana Rd
Suite #8
Lantana, FL 33462-1543
Phone
(561) 588-1919
Fax
(561) 588-2687
NPI assigned
Feb 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN7350 FL Primary

Addresses

Primary practice location

1280 W Lantana Rd
Suite #8
Lantana, FL 33462-1543

Mailing address

1280 W Lantana Rd
Suite #8
Lantana, FL 33462-1543
Phone (561) 588-1919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20151112001231 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5597075036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN7350FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles R Wright DDS, PA Dentist Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1457529901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 W LANTANA RD",
            "address_2": "SUITE #8",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334621543",
            "telephone_number": "561-588-1919",
            "fax_number": "561-588-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 W LANTANA RD",
            "address_2": "SUITE #8",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334621543",
            "telephone_number": "561-588-1919",
            "fax_number": "561-588-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "CHARLES",
        "middle_name": "REESE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN7350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lantana, FL

Sources for this page

Verify at the official NPI Registry.