Active NPI
Alexander Edward Wright, D.D.S.
- Dentist
- Champaign, IL
National Provider Identifier
1538516984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.031086
- Practice address
- 14 E Anthony Dr
Champaign, IL 61820-2748 - Phone
- (217) 359-8697
- NPI assigned
- May 16, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.031086 | IL | Primary |
Addresses
Primary practice location
14 E Anthony Dr
Champaign, IL 61820-2748
Mailing address
3110 Sharp Dr
Champaign, IL 61822-1133
Phone (312) 532-8630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160707001168 | IA | Order and Referring Only - Oral Surgery | 4880986116 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.031086 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773100800000",
"number": "1538516984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3110 SHARP DR",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618221133",
"telephone_number": "312-532-8630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 E ANTHONY DR",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618202748",
"telephone_number": "217-359-8697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "ALEXANDER",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-16",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.031086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.