NPIMap

Organization Active NPI

Kelly a Wright DMD and Associates PA

  • General Practice Dentistry
  • Benson, NC
National Provider Identifier
1477954980
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7496 Issued in NC
Legal business name
KELLY A WRIGHT DMD AND ASSOCIATES PA
Practice address
303 S Walton Dr
Benson, NC 27504-9396
Phone
(919) 894-1612
Fax
(919) 894-2556
NPI assigned
Sep 16, 2014
Last updated
Sep 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Mr. Daniel Lee Wright Jr.
Title
Practice Administrator/V.P.
Phone
(910) 568-8292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7496 NC Primary

Addresses

Primary practice location

303 S Walton Dr
Benson, NC 27504-9396

Mailing address

303 S Walton Dr
Benson, NC 27504-9396
Phone (919) 894-1612

Other identifiers 1

IdentifierTypeStateIssuer
89902ERMedicaidNC

Other names 1

  • Benson Family Dental Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Benson Family Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1477954980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S WALTON DR",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275049396",
            "telephone_number": "919-894-1612",
            "fax_number": "919-894-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S WALTON DR",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275049396",
            "telephone_number": "919-894-1612",
            "fax_number": "919-894-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY A WRIGHT DMD AND ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR/V.P.",
        "authorized_official_telephone_number": "910-568-8292",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902ER",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benson Family Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Benson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.