George Randall Wright, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

021002022 Issued in IL

Practice address

2550 W Fabyan Pkwy
Batavia, IL 60510-1572

Phone

(630) 208-1200

Fax

(630) 402-0378

NPI assigned

Nov 7, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Randy Wright, DDS, Ms, LLC

  dba Wright Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Batavia, IL
  • NPI 1699785063
  NPD (past) Authorized official
• DVW, LLC

  dba Wright Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Batavia, IL
  • NPI 1487446803
  NPD (past)

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1871999532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 W FABYAN PKWY",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101572",
            "telephone_number": "630-208-1200",
            "fax_number": "630-402-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 W FABYAN PKWY",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101572",
            "telephone_number": "630-208-1200",
            "fax_number": "630-402-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "GEORGE",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019024145",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021002022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Wilson
• Catherine D Winters, MS, CCC-SLP
• Mari Jo Wittum, MCP LCPC
• Woodfield Ortho Services LLC (Woodfield Orthotics & Prosthetics)
• Daniel Victor Wright, DMD
• Rena Myers Wright
• Dawn Marie Yarbrough, STUDENT
• Sarah Youngmark
• Catherine B. Youssef, M.D.
• Zeta Visiting Physician LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Batavia, IL
• Providers in Batavia, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.