Individual provider Active NPI

Laila A Wright, DDS

  • Dentist
  • Forest City, IA
National Provider Identifier
1700975422
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8141 Issued in IA
Practice address
132 East J Street
Forest City, IA 50436
Phone
(641) 585-4636
Fax
(641) 585-3436
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8141 IA
Dentist 122300000X 8141 IA Primary

Addresses

Primary practice location

132 East J Street
Forest City, IA 50436

Mailing address

132 East J Street
Forest City, IA 50436
Phone (641) 585-4636

Other names 1

  • Dr. Laila A Buck Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140523001514 IA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9234352030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1700975422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 EAST J STREET",
            "city": "FOREST CITY",
            "state": "IA",
            "postal_code": "50436",
            "telephone_number": "641-585-4636",
            "fax_number": "641-585-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 EAST J STREET",
            "city": "FOREST CITY",
            "state": "IA",
            "postal_code": "50436",
            "telephone_number": "641-585-4636",
            "fax_number": "641-585-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "LAILA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "8141",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "8141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAILA",
            "last_name": "BUCK",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Forest City, IA

Sources for this page

Verify at the official NPI Registry.