Organization Active NPI

Wright Podiatry, PLLC

  • Sports Medicine Podiatrist
  • Fort Smith, AR
National Provider Identifier
1679085310
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine PodiatristTaxonomy code 213ES0000X
License
137 Issued in AR
Legal business name
WRIGHT PODIATRY, PLLC
Practice address
600 S 21St St
Fort Smith, AR 72901-3915
Phone
(479) 242-3331
Fax
(479) 242-1912
NPI assigned
Nov 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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

Authorized official

Name
John D WrightNPI 1316956634
Title
Physician
Phone
(479) 242-3668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0000X 137 AR Primary

Addresses

Primary practice location

600 S 21St St
Fort Smith, AR 72901-3915

Mailing address

600 S 21St St
Fort Smith, AR 72901-3915
Phone (479) 242-3331

Other identifiers 1

IdentifierTypeStateIssuer
125124717MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180104000482 AR Part B Supplier - Clinic/Group Practice 5890054480 Receives reassigned benefits from 1 practitioner
Practice locations: Ft Smith, AR
O20180510001761 AR DME Supplier - Physician - Podiatry 5890054480 Practice locations: Fort Smith, AR

National Provider Directory

National Provider Directory

Locations

600 S 21st St
Fort Smith, AR 72901
Phone (479) 242-3668

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1679085310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S 21ST ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729013915",
            "telephone_number": "479-242-3331",
            "fax_number": "479-242-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 21ST ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729013915",
            "telephone_number": "479-242-3331",
            "fax_number": "479-242-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHT PODIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "479-242-3668"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Sports Medicine",
            "state": "AR",
            "license": "137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125124717",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.