Organization Active NPI

Wright Family Chiropractic PLLC

  • Chiropractor
  • Parkersburg, WV
National Provider Identifier
1396028577
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
857 Issued in WV
Legal business name
WRIGHT FAMILY CHIROPRACTIC PLLC
Practice address
2301 Camden Ave
Parkersburg, WV 26101-5610
Phone
(304) 972-6568
Fax
(304) 861-5352
NPI assigned
Sep 23, 2011
Last updated
Sep 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Authorized official

Name
Dr. Dustin Eugene Wright, D.C.NPI 1285667147
Title
Ceo
Phone
(304) 972-6568

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 857 WV Primary

Addresses

Primary practice location

2301 Camden Ave
Parkersburg, WV 26101-5610

Mailing address

PO Box 3799
Parkersburg, WV 26103-3799
Phone (304) 972-6568

Other identifiers 1

IdentifierTypeStateIssuer
7100064390MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120222001123 WV Part B Supplier - Clinic/Group Practice 3779741624 Receives reassigned benefits from 1 practitioner
Practice locations: Parkersburg, WV

National Provider Directory

National Provider Directory

Locations

2301 Camden Ave
Parkersburg, WV 26101
Phone (304) 422-2301

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1396028577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3799",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261033799",
            "telephone_number": "304-972-6568",
            "fax_number": "304-861-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 CAMDEN AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261015610",
            "telephone_number": "304-972-6568",
            "fax_number": "304-861-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHT FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-972-6568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100064390",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.