Randy Wright, DDS, Ms, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

019024145 Issued in IL

Legal business name

RANDY WRIGHT, DDS, MS, LLC

Doing business as

Wright Orthodontics

Practice address

2550 W Fabyan Pkwy
Batavia, IL 60510-1572

Phone

(630) 208-1200

Fax

(630) 402-0378

NPI assigned

Aug 9, 2006

Last updated

Nov 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. George Randall Wright, D.D.S., M.S.NPI 1871999532

Title

Manager

Phone

(630) 208-1200

Specialties & licenses 1

Addresses

Other names 1

• Wright Orthodontics Doing business as

Practitioners 1

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.

• George Randall Wright, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Batavia, IL
  • NPI 1871999532
  NPD (past) Authorized official

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1699785063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 KEIM CIR",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601347516",
            "telephone_number": "630-208-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 W FABYAN PKWY",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101572",
            "telephone_number": "630-208-1200",
            "fax_number": "630-402-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY WRIGHT, DDS, MS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-208-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "019024145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wright Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Batavia, IL
• Providers in Batavia, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.