Individual provider Active NPI

Michael J Wright, M.D.

  • Pediatrics Physician
  • Louisville, CO
National Provider Identifier
1013998400
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
36403 Issued in CO
Practice address
818 W South Boulder Rd Unit 100
Louisville, CO 80027-2412
Phone
(303) 322-7806
NPI assigned
Nov 11, 2005
Last updated
Dec 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 36403 CO Primary

Addresses

Primary practice location

818 W South Boulder Rd Unit 100
Louisville, CO 80027-2412

Mailing address

818 W South Boulder Rd Unit 100
Louisville, CO 80027-2412
Phone (303) 322-7806

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36403COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Valley Pediatrics, P.C. Pediatrics PastSince Jan 31, 2021 Accepting new patients
Centennial Valley Pediatrics, P.C. Pediatrics PastSince Mar 4, 2021 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1013998400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W SOUTH BOULDER RD UNIT 100",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272412",
            "telephone_number": "303-322-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W SOUTH BOULDER RD UNIT 100",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272412",
            "telephone_number": "303-322-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "36403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.