Active NPI
Michael W Wright, ATC
- Athletic Trainer
- Sioux City, IA
National Provider Identifier
1487729950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 00017
- Practice address
- 2800 Pierce St Ste 102
Sioux City, IA 51104-3707 - Phone
- (712) 253-0990
- Fax
- (712) 255-9490
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 00017 | IA | Primary |
Addresses
Primary practice location
2800 Pierce St Ste 102
Sioux City, IA 51104-3707
Mailing address
32 Deer Run Cir
North Sioux City, SD 57049-4082
Phone (712) 253-0990
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00017 | IA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487729950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 DEER RUN CIR",
"city": "NORTH SIOUX CITY",
"state": "SD",
"postal_code": "570494082",
"telephone_number": "712-253-0990",
"fax_number": "712-255-9490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 PIERCE ST STE 102",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511043707",
"telephone_number": "712-253-0990",
"fax_number": "712-255-9490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "MICHAEL",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IA",
"license": "00017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.