Individual provider Active NPI

Gregory Franklin Wright, CSFA

  • Surgical Assistant
  • Edgewater, CO
National Provider Identifier
1609486059
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
SA.0002663 Issued in CO
Practice address
2255 Sheridan Blvd Unit C321
Edgewater, CO 80214-1313
Phone
(720) 305-6205
NPI assigned
Jul 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X SA.0002663 CO Primary

Addresses

Primary practice location

2255 Sheridan Blvd Unit C321
Edgewater, CO 80214-1313

Mailing address

2255 Sheridan Blvd Unit C321
Edgewater, CO 80214-1313

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@amb5280.com

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

LicenseStateTypeSpecialty
SA.0002663COMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1609486059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 SHERIDAN BLVD UNIT C321",
            "city": "EDGEWATER",
            "state": "CO",
            "postal_code": "802141313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 SHERIDAN BLVD UNIT C321",
            "city": "EDGEWATER",
            "state": "CO",
            "postal_code": "802141313",
            "telephone_number": "720-305-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "GREGORY",
        "middle_name": "FRANKLIN",
        "credential": "CSFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": "SA.0002663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@amb5280.com",
            "affiliation": "N",
            "address_1": "2255 Sheridan Blvd Unit C321",
            "city": "Edgewater",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802141313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edgewater, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.