Organization Active NPI

Wright Chiropractic LLC

Doing business as Arizona Sun Chiropractic & Rehab

  • Multi-Specialty Clinic/Center
  • Gilbert, AZ
National Provider Identifier
1396924551
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
7327 Issued in AZ
Legal business name
WRIGHT CHIROPRACTIC LLC
Doing business as
Arizona Sun Chiropractic & Rehab
Practice address
633 E Ray Rd
Ste 110
Gilbert, AZ 85296-4202
Phone
(480) 222-6059
Fax
(480) 664-2093
NPI assigned
Oct 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Authorized official

Name
Brian R Wright, DCNPI 1013985415
Title
Owner
Phone
(480) 222-6059

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 7327 AZ Primary
Rehabilitation Clinic/Center 261QR0400X 4012 AZ

Addresses

Primary practice location

633 E Ray Rd
Ste 110
Gilbert, AZ 85296-4202

Mailing address

633 E Ray Rd
Ste 110
Gilbert, AZ 85296-4202
Phone (480) 222-6059

Other identifiers 3

IdentifierTypeStateIssuer
4012OtherAZPHYSIOTHERAPY CERTIFICATE
7327OtherAZCHIROPRACTIC LICENSE
AZ0942090OtherAZBLUE CROSS BLUE SHIELD

Other names 1

  • Arizona Sun Chiropractic & Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071203000040 AZ Part B Supplier - Clinic/Group Practice 6800985623 Receives reassigned benefits from 1 practitioner
Practice locations: Gilbert, AZ

National Provider Directory

National Provider Directory

Locations

633 E Ray Rd
Ste 110
Gilbert, AZ 85296
Phone (480) 222-6059

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1396924551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 E RAY RD",
            "address_2": "STE 110",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964202",
            "telephone_number": "480-222-6059",
            "fax_number": "480-664-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E RAY RD",
            "address_2": "STE 110",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964202",
            "telephone_number": "480-222-6059",
            "fax_number": "480-664-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-222-6059",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "AZ",
            "license": "7327",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "AZ",
            "license": "4012",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSIOTHERAPY CERTIFICATE",
            "identifier": "4012",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "7327",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0942090",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Sun Chiropractic & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.