Shaun Tom Wright, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DT 2038 Issued in HI

Practice address

99 S Market St
Suite 102
Wailuku, HI 96793-2200

Phone

(808) 244-5495

Fax

(808) 244-5525

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1518024587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 S MARKET ST",
            "address_2": "SUITE 102",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932200",
            "telephone_number": "808-244-5495",
            "fax_number": "808-244-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 S MARKET ST",
            "address_2": "SUITE 102",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932200",
            "telephone_number": "808-244-5495",
            "fax_number": "808-244-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "SHAUN",
        "middle_name": "TOM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "HI",
            "license": "DT 2038",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "47826",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE NUMB",
            "identifier": "47826",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE NUMB",
            "identifier": "DT 2038",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wesley H Wong, PHARM.D.
• Jennifer Wood
• Anne Wooliscroft, OTR/L
• Lynda M. Wright, LCSW
• Megan P. Wright, D.O.
• Daniel Wychulis, OTR
• Andrew Jackson Wyers, MD
• Dhiraj Kumar Yadav, M.D.
• Alexa Ann Yager, D.O.
• Thelma M Yamada, M.D.

• Pediatric Dentistry in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Pediatric Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.