Individual provider Active NPI

Matthew Scott Wright, DMD

  • Dentist
  • Albuquerque, NM
National Provider Identifier
1487403499
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DB-2024-0130 Issued in NM
Practice address
120 Eubank Blvd SE
Albuquerque, NM 87123-3399
Phone
(505) 600-2000
NPI assigned
May 14, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DB-2024-0130 NM Primary

Addresses

Primary practice location

120 Eubank Blvd SE
Albuquerque, NM 87123-3399

Mailing address

120 Eubank Blvd SE
Albuquerque, NM 87123-3399
Phone (505) 600-2000

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

LicenseStateTypeSpecialty
DB-2024-0130NMMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Valer 120 Eubank, LLC CurrentSince May 19, 2024 Accepting new patients
Uncommon PC 120 LLC PastSince May 19, 2024 Accepting new patients

Locations

120 Eubank Blvd SE
Albuquerque, NM 87123
Phone (505) 600-2000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1487403499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EUBANK BLVD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871233399",
            "telephone_number": "505-600-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EUBANK BLVD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871233399",
            "telephone_number": "505-600-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DB-2024-0130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.