Organization Active NPI

Wright Naeger Dentistry PPLC

  • General Practice Dentistry
  • College Station, TX
National Provider Identifier
1689263568
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WRIGHT NAEGER DENTISTRY PPLC
Practice address
4528 Mills Park Cir
College Station, TX 77845-1100
Phone
(979) 776-4843
Fax
(979) 776-5174
NPI assigned
Jan 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Authorized official

Name
D'Ette M Waldrop
Title
Admin
Phone
(979) 776-4843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4528 Mills Park Cir
College Station, TX 77845-1100

Mailing address

4528 Mills Park Cir
College Station, TX 77845-1100
Phone (979) 776-4843

National Provider Directory

National Provider Directory

Locations

4528 Mills Park Cir
College Station, TX 77845
Phone (979) 776-4843

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1689263568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4528 MILLS PARK CIR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778451100",
            "telephone_number": "979-776-4843",
            "fax_number": "979-776-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4528 MILLS PARK CIR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778451100",
            "telephone_number": "979-776-4843",
            "fax_number": "979-776-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHT NAEGER DENTISTRY PPLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "WALDROP",
        "authorized_official_first_name": "D'ETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "979-776-4843"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.