Individual provider Active NPI

Angela Dawn Wright, DDS

  • General Practice Dentistry
  • Miami, FL
National Provider Identifier
1669554374
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13431 Issued in GA
Practice address
1200 Brickell Bay Dr
#2207
Miami, FL 33131-3251
Phone
(305) 503-0740
Fax
(305) 503-0740
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13431 GA Primary

Addresses

Primary practice location

1200 Brickell Bay Dr
#2207
Miami, FL 33131-3251

Mailing address

1200 Brickell Bay Dr
#2207
Miami, FL 33131-3251
Phone (305) 503-0740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150713002058 GA Order and Referring Only - DentistPractitioner - Dentist 5496068900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13431GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Peach Blossom Dental, LLC PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669554374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BRICKELL BAY DR",
            "address_2": "#2207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313251",
            "telephone_number": "305-503-0740",
            "fax_number": "305-503-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BRICKELL BAY DR",
            "address_2": "#2207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313251",
            "telephone_number": "305-503-0740",
            "fax_number": "305-503-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "ANGELA",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "13431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.