Individual provider Active NPI

Ronald Aaron Wright, DC DOCTOR OF CHIROPR

  • Chiropractor
  • Williston, ND
National Provider Identifier
1588750897
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
345 Issued in ND
Practice address
2204 2ND Avenue West
Suite 103
Williston, ND 58801-3485
Phone
(701) 572-2951
Fax
(701) 572-8504
NPI assigned
Oct 5, 2006
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
Chiropractor 111N00000X 345 ND Primary

Addresses

Primary practice location

2204 2ND Avenue West
Suite 103
Williston, ND 58801-3485

Mailing address

2204 2ND Avenue West
Suite 103
Williston, ND 58801-3485
Phone (701) 572-2951

Other identifiers 1

IdentifierTypeStateIssuer
13731MedicaidND

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100524000627 ND Practitioner - Chiropractic 9537298955 Practice locations: Williston, ND

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2204 2ND Ave W
Williston, ND 58801-3485
Phone (701) 572-2951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
345NDMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588750897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 2ND AVENUE WEST",
            "address_2": "SUITE 103",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013485",
            "telephone_number": "701-572-2951",
            "fax_number": "701-572-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 2ND AVENUE WEST",
            "address_2": "SUITE 103",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013485",
            "telephone_number": "701-572-2951",
            "fax_number": "701-572-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "RONALD",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DC DOCTOR OF CHIROPR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13731",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, ND

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.
  • 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.