Organization Active NPI

Wright Dermatology and Mohs, LLC

Doing business as Wright Dermatology, LLC

  • Dermatology Physician
  • Phoenix, OR
National Provider Identifier
1811818362
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
WRIGHT DERMATOLOGY AND MOHS, LLC
Doing business as
Wright Dermatology, LLC
Practice address
105 E. 4TH Street
Phoenix, OR 97535
Phone
(707) 570-9111
NPI assigned
Jul 22, 2026
Last updated
Jul 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Kevin T. Wright, MDNPI 1164700738
Title
Owner / Physician
Phone
(707) 570-9111

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
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

105 E. 4TH Street
Phoenix, OR 97535

Mailing address

105 E. 4TH Street
PO Box 85638
Phoenix, OR 97535
Phone (707) 570-9111

Other names 1

  • Wright Dermatology, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1784678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1811818362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E. 4TH STREET",
            "address_2": "PO BOX 85638",
            "city": "PHOENIX",
            "state": "OR",
            "postal_code": "97535",
            "telephone_number": "707-570-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E. 4TH STREET",
            "city": "PHOENIX",
            "state": "OR",
            "postal_code": "97535",
            "telephone_number": "707-570-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHT DERMATOLOGY AND MOHS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "707-570-9111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wright Dermatology, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.