Individual provider Active NPI

Frederick V. Wright, DMD

  • General Practice Dentistry
  • Louisville, KY
National Provider Identifier
1831164623
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7373 Issued in KY
Practice address
5220 Dixie Hwy
Suite B
Louisville, KY 40216-1704
Phone
(502) 449-7995
Fax
(502) 449-2028
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

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 7373 KY Primary

Addresses

Primary practice location

5220 Dixie Hwy
Suite B
Louisville, KY 40216-1704

Mailing address

11402 Saratoga Ridge Dr
Louisville, KY 40299-8314
Phone (502) 498-4663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20160511001516 IN Order and Referring Only - DentistPractitioner - Dentist 1759670979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7373KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mortenson Family Dental 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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831164623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11402 SARATOGA RIDGE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402998314",
            "telephone_number": "502-498-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 DIXIE HWY",
            "address_2": "SUITE B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161704",
            "telephone_number": "502-449-7995",
            "fax_number": "502-449-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "FREDERICK",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.