Individual provider Active NPI

Antoine Jerrell Wright, D.C.

  • Chiropractor
  • Pikesville, MD
National Provider Identifier
1306439492
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S04072 Issued in MD
Practice address
1866 F Reisterstown Rd
Pikesville, MD 21208
Phone
(410) 484-5642
Fax
(410) 484-5541
NPI assigned
Feb 19, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X S04072 MD
Chiropractor 111N00000X S04072 MD Primary

Addresses

Primary practice location

1866 F Reisterstown Rd
Pikesville, MD 21208

Mailing address

1866 F Reisterstown Rd
Pikesville, MD 21208
Phone (410) 484-5642

Other names 1

  • Antoine Jerrell Wright Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210316000473 MD Practitioner - Chiropractic 8729494893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fidel Integrated Medical Solutions PCGroup PAC ID 6406165521, 6 clinicians

Practice addresses (Care Compare)

1866 Reisterstown Rd
Suite F
Pikesville, MD 21208-1335
Phone (410) 484-5642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Zen Chiropractic & Wellness Space Chiropractor CurrentSince Nov 1, 2022 Accepting new patients
Fidel Integrated Medical Solutions PC Chiropractor CurrentSince May 12, 2021 Accepting new patients

Locations

6414 Park Heights Ave
Ste G1
Baltimore, MD 21215
Phone (404) 263-1004

1866 Reisterstown Rd
#F
Pikesville, MD 21208
Phone (410) 358-0060

1866F Reisterstown Rd
Pikesville, MD 21208
Phone (410) 484-5642

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1306439492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 F REISTERSTOWN RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-484-5642",
            "fax_number": "410-484-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 F REISTERSTOWN RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-484-5642",
            "fax_number": "410-484-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "ANTOINE",
        "middle_name": "JERRELL",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-19",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MD",
            "license": "S04072",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S04072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTOINE",
            "last_name": "WRIGHT",
            "middle_name": "JERRELL",
            "credential": "DR.WRIGHT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.