Active NPI
Kendall Merritt Wright, M.D.
- Family Medicine Physician
- Emporia, KS
National Provider Identifier
1003838335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04-15171
- Practice address
- 1301 W 12TH Ave
Suite 301
Emporia, KS 66801-2587 - Phone
- (620) 343-2376
- Fax
- (620) 343-0095
- NPI assigned
- Jul 24, 2006
- Last updated
- Apr 2, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-15171 | KS | Primary |
Addresses
Primary practice location
1301 W 12TH Ave
Suite 301
Emporia, KS 66801-2587
Mailing address
1201 W 12TH Ave
Emporia, KS 66801-2504
Phone (620) 343-6800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103207 | Other | KS | BC/BS |
| 100207160C | Medicaid | KS | |
| P00057491 | Other | KS | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carearc, Inc. | Current | Accepting new patients | |
| Carearc, Inc. | Current | Accepting new patients |
Locations
420 W 15th Ave
Emporia, KS 66801
Phone (620) 342-4864
1602 N Elm St
Eureka, KS 67045
Phone (620) 583-7436
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Emporia, KS
- NPI 1326067539
-
- Federally Qualified Health Center (FQHC)
- Emporia, KS
- NPI 1467413906
-
- Public Health or Welfare Agency
- Emporia, KS
- NPI 1760658108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333324800000",
"number": "1003838335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 W 12TH AVE",
"city": "EMPORIA",
"state": "KS",
"postal_code": "668012504",
"telephone_number": "620-343-6800",
"fax_number": "620-341-7821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 W 12TH AVE",
"address_2": "SUITE 301",
"city": "EMPORIA",
"state": "KS",
"postal_code": "668012587",
"telephone_number": "620-343-2376",
"fax_number": "620-343-0095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "KENDALL",
"middle_name": "MERRITT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2012-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "04-15171",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "103207",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100207160C",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00057491",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Emporia, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.