NPIMap

Organization Active NPI

Wright Dream

  • Private Vehicle
  • South Bend, IN
National Provider Identifier
1629376504
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
License
1350228558 Issued in IN
Legal business name
WRIGHT DREAM
Practice address
706 S Sheridan St
South Bend, IN 46619-2935
Phone
(574) 300-2820
NPI assigned
Mar 2, 2011
Last updated
Mar 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Authorized official

Name
Miss Tameka La 'Cole Wright
Title
Owner
Phone
(574) 300-2820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X 1350228558 IN Primary

Addresses

Primary practice location

706 S Sheridan St
South Bend, IN 46619-2935

Mailing address

706 S Sheridan St
South Bend, IN 46619-2935
Phone (574) 300-2820

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1629376504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 S SHERIDAN ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466192935",
            "telephone_number": "574-300-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 S SHERIDAN ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466192935",
            "telephone_number": "574-300-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHT DREAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "TAMEKA",
        "authorized_official_middle_name": "LA 'COLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-300-2820",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "IN",
            "license": "1350228558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.