Active NPI
Kenneth John Wright, DC
- Chiropractor
- Amherst, NY
National Provider Identifier
1629388111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X012213-1
- Practice address
- 382 Joe McCarthy Dr
Amherst, NY 14228 - Phone
- (716) 472-3886
- NPI assigned
- Oct 18, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X012213-1 | NY | Primary |
Addresses
Primary practice location
382 Joe McCarthy Dr
Amherst, NY 14228
Mailing address
110 N Cayuga St
Suite 4
Ithaca, NY 14850-4326
Phone (607) 272-4290
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 |
|---|---|---|---|
| X012213-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diane J Reppert Chiropractor PLLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Ithaca, NY
- NPI 1871866392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390176000000",
"number": "1629388111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 N CAYUGA ST",
"address_2": "SUITE 4",
"city": "ITHACA",
"state": "NY",
"postal_code": "148504326",
"telephone_number": "607-272-4290",
"fax_number": "607-272-4293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "382 JOE MCCARTHY DR",
"city": "AMHERST",
"state": "NY",
"postal_code": "14228",
"telephone_number": "716-472-3886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "KENNETH",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-18",
"last_updated": "2014-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X012213-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.