Active NPI
Phranque Wright, DAOM
- Acupuncturist
- Chicago, IL
National Provider Identifier
1619384575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198.000782
- Practice address
- 4007 N Broadway St
107
Chicago, IL 60613-6074 - Phone
- (708) 297-5899
- NPI assigned
- Jul 11, 2014
- Last updated
- Jul 11, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 198.000782 | IL | Primary |
| Acupuncturist | 171100000X | 578-055 | WI | |
| Acupuncturist | 171100000X | 578 | CO | |
| Acupuncturist | 171100000X | 84000096A | IN |
Addresses
Primary practice location
4007 N Broadway St
107
Chicago, IL 60613-6074
Mailing address
4007 N Broadway St
107
Chicago, IL 60613-6074
Phone (708) 297-5899
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 |
|---|---|---|---|
| 198.000782 | IL | MD | Acupuncturist |
| 84000096A | IN | MD | Acupuncturist |
| 578-055 | WI | MD | Acupuncturist |
| 578 | CO | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405036800000",
"number": "1619384575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4007 N BROADWAY ST",
"address_2": "107",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606136074",
"telephone_number": "708-297-5899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4007 N BROADWAY ST",
"address_2": "107",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606136074",
"telephone_number": "708-297-5899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "PHRANQUE",
"name_prefix": "Dr.",
"credential": "DAOM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-11",
"last_updated": "2014-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198.000782",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WI",
"license": "578-055",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "578",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IN",
"license": "84000096A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.