Elizabeth Jack Wright, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

109102 Issued in CA

Practice address

1441 Avocado Ave Ste 508
Newport Beach, CA 92660-7706

Phone

(949) 640-5680

NPI assigned

Dec 19, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• John P. Eriksmoen, DDS, Inc.

  • Customized Equipment (DME)
  • Newport Beach, CA
  • NPI 1407240864
  NPD
• Izu & Bergmann Dental Associates, Inc.

  • General Practice Dentistry
  • Palm Desert, CA
  • NPI 1962726950
  NPD (past)

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1790553840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE STE 508",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607706",
            "telephone_number": "949-640-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE STE 508",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607706",
            "telephone_number": "949-640-5680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "74303 Highway 111 Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922604141",
            "country_code": "US",
            "telephone_number": "760-340-0888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "ELIZABETH",
        "middle_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Gwyn Woodward, MD
• Lisa M.T. Worsch, M.D.
• Sherri Lee Worth, D.D.S.
• Victoria Wostenberg, D.P.T.
• Wouncare Providers Inc.
• Ryan James Wright, M.D.
• Tralyece Aeryoll Wright
• Esperanza Wu
• Frank M Wu, DO
• Gretchen Wu

• General Practice Dentistry in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.