Jack Wright Dentistry PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D6613 Issued in AZ

Legal business name

JACK WRIGHT DENTISTRY PC

Practice address

4055 W Chandler Blvd Ste 1
Chandler, AZ 85226-3700

Phone

(480) 753-6300

NPI assigned

May 29, 2008

Organization subpart

No

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

Authorized official

Name

Jack Wright

Title

Orthodontist

Phone

(480) 753-6300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1487812046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 W CHANDLER BLVD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263700",
            "telephone_number": "480-753-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 W CHANDLER BLVD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263700",
            "telephone_number": "480-753-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK WRIGHT DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "480-753-6300"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "D6613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J. Grant Johansen DMD PLLC
• J&Bhealthcare LLC
• Sallu M. Jabati, M.D.
• Khaldoun Jabi, MD
• Rebecca Jacewicz
• Brianna Lynn Jack, M.A,BCBA,LBA
• Jackson Taravine Sr
• Corliss Colleen Jackson, REIKI MASTER
• Darius Jackson, PT, DPT
• Desiree Nicole Jackson

• Orthodontics and Dentofacial Orthopedics Dentistry in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.