Active NPI
Bruce Barton Wright, DDS
- General Practice Dentistry
- Rehoboth Beach, DE
National Provider Identifier
1710046453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- G1-0000769
- Practice address
- 18913 John J Williams Hwy
Rehoboth Beach, DE 19971-4404 - Phone
- (302) 645-6671
- Fax
- (302) 645-2537
- NPI assigned
- Dec 8, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | G1-0000769 | DE | Primary |
Addresses
Primary practice location
18913 John J Williams Hwy
Rehoboth Beach, DE 19971-4404
Mailing address
15 Venetian Dr
Rehoboth Beach, DE 19971-1937
Phone (302) 227-8707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000893308 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G1-0000769 | DE | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maplewood Dental Associates | Past | Accepting new patients | |
| Maplewood Dental LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Rehoboth Beach, DE
- NPI 1306974282
-
- Dentist
- Rehoboth Beach, DE
- NPI 1578691838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1710046453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 VENETIAN DR",
"city": "REHOBOTH BEACH",
"state": "DE",
"postal_code": "199711937",
"telephone_number": "302-227-8707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18913 JOHN J WILLIAMS HWY",
"city": "REHOBOTH BEACH",
"state": "DE",
"postal_code": "199714404",
"telephone_number": "302-645-6671",
"fax_number": "302-645-2537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "BRUCE",
"middle_name": "BARTON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "DE",
"license": "G1-0000769",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000893308",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rehoboth Beach, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.