Individual provider Active NPI

Kenneth D. Wright, M.D.

  • Psychiatry Physician
  • Benton, AR
National Provider Identifier
1215978770
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C6902 Issued in AR
Practice address
787 Racetrack Rd
Benton, AR 72015-9461
Phone
(501) 316-0048
NPI assigned
Jun 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Psychiatry Physician 2084P0800X C6902 AR Primary

Addresses

Primary practice location

787 Racetrack Rd
Benton, AR 72015-9461

Mailing address

787 Racetrack Rd
Benton, AR 72015-9461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040623000888 AR Practitioner - Psychiatry 1254316185 Reassigns benefits to 2 organizations
Practice locations: Benton, AR; Malvern, AR

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Arkansas College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Birch Tree Communities IncGroup PAC ID 5597749747, 21 clinicians

Practice addresses (Care Compare)

6701 Hwy 67 S
BLDG 4
Benton, AR 72015-8909
Phone (501) 315-3344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Birch Tree Communities, Inc CurrentSince Nov 2, 2003 Accepting new patients
Counseling Clinic, Inc. CurrentSince Jun 12, 2018 Accepting new patients
Birch Tree Communities, Inc CurrentSince Nov 2, 2003 Accepting new patients
Counseling Clinic, Inc Psychiatry CurrentSince Jun 12, 2018 Accepting new patients
Birch Tree Communities Inc Current Accepting new patients

Locations

110 Pearson
Benton, AR 72015
Phone (501) 315-4224

1506 Mary Kay Blvd
Benton, AR 72015
Phone (501) 303-1665

1718 Hot Springs Hwy
Benton, AR 72019
Phone (501) 303-1634

6701 Highway 67
Benton, AR 72015
Phone (501) 860-0500

6701 Highway 67
Bldg 4
Benton, AR 72015

6701 Highway 67
Bldg 70
Benton, AR 72015

522 Mill Rd
Clarksville, AR 72830
Phone (479) 705-1301

706 N Brown St
Clarksville, AR 72830
Phone (479) 705-1301

242 Shake Rag Rd
Clinton, AR 72031
Phone (501) 745-3033

132 Lower Ridge Rd
Conway, AR 72032
Phone (501) 548-9905

310 Whittington Ave
Hot Springs National Park, AR 71901
Phone (501) 623-3477

1628 E Page Ave
Malvern, AR 72104
Phone (501) 332-4437

218 Dogwood Hollow Rd
Mountain View, AR 72560
Phone (870) 269-2298

210 Third St
Newport, AR 72112
Phone (870) 523-9496

210 N Shamrock Blvd
Russellville, AR 72802
Phone (479) 747-7302

Organizations & group practices 5

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215978770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 RACETRACK RD",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720159461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 RACETRACK RD",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720159461",
            "telephone_number": "501-316-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KENNETH",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "C6902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

Verify at the official NPI Registry.