Timothy Michael Wright, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6648 Issued in KY

Practice address

1115 Tamarack Rd
Suite 300
Owensboro, KY 42301-6984

Phone

(270) 684-3310

Fax

(270) 684-0417

NPI assigned

Jan 12, 2007

Sex

Male

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

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1982754537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 J R MILLER BLVD",
            "address_2": "SUITE 300",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033173",
            "telephone_number": "270-684-3310",
            "fax_number": "270-684-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 TAMARACK RD",
            "address_2": "SUITE 300",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016984",
            "telephone_number": "270-684-3310",
            "fax_number": "270-684-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra J Wright, PT, CHT
• Kelsey Leigh Wright, PA
• Krystal Thurman Wright, APRN
• Shannon Sullivan Wright, LCSW, DCSW
• Stephanie Lynn Wright, PHARM D
• Jacynda Wyatt, OCCUPATIONAL THERAPI
• Andrew David Yates, DC
• Adrian James Yeiser, M.D.
• Courtney Mechele Yeiser
• Michael F Yeiser, M.D.

• General Practice Dentistry in Owensboro, KY
• Providers in Owensboro, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.