NPIMap

Organization Active NPI

Raymond L. Wright Jr DDS PC

Doing business as San Clemente Periodontics & Implants

  • Periodontics
  • San Clemente, CA
National Provider Identifier
1740868140
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
RAYMOND L. WRIGHT JR DDS PC
Doing business as
San Clemente Periodontics & Implants
Practice address
1001 Avenida Pico Ste K
San Clemente, CA 92673-6956
Phone
(949) 361-4867
Fax
(949) 361-4868
NPI assigned
Mar 30, 2021
Last updated
Sep 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Authorized official

Name
Dr. Raymond L. Wright Jr., DDSNPI 1316949902
Title
President
Phone
(949) 361-4867

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

1001 Avenida Pico Ste K
San Clemente, CA 92673-6956

Mailing address

1001 Avenida Pico Ste K
San Clemente, CA 92673-6956
Phone (949) 361-4867

Other names 1

  • San Clemente Periodontics & Implants Doing business as

National Provider Directory

National Provider Directory

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": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1740868140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 AVENIDA PICO STE K",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736956",
            "telephone_number": "949-361-4867",
            "fax_number": "949-361-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 AVENIDA PICO STE K",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736956",
            "telephone_number": "949-361-4867",
            "fax_number": "949-361-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND L. WRIGHT JR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-361-4867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Clemente Periodontics & Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.