Individual provider Active NPI

Dan D Wright, D.M.D.

  • General Practice Dentistry
  • Pinson, AL
National Provider Identifier
1750444592
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4031 Issued in AL
Practice address
6727 Deerfoot Pkwy
Pinson, AL 35126-3093
Phone
(205) 680-1120
Fax
(205) 680-1121
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4031 AL Primary

Addresses

Primary practice location

6727 Deerfoot Pkwy
Pinson, AL 35126-3093

Mailing address

6727 Deerfoot Pkwy
Pinson, AL 35126-3093
Phone (205) 680-1120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20170103001495 AL Order and Referring Only - DentistPractitioner - Dentist 0840571907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4031ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pinson Family Dentistry, PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750444592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6727 DEERFOOT PKWY",
            "city": "PINSON",
            "state": "AL",
            "postal_code": "351263093",
            "telephone_number": "205-680-1120",
            "fax_number": "205-680-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6727 DEERFOOT PKWY",
            "city": "PINSON",
            "state": "AL",
            "postal_code": "351263093",
            "telephone_number": "205-680-1120",
            "fax_number": "205-680-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "DAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinson, AL

Sources for this page

Verify at the official NPI Registry.