Individual provider Active NPI

Colton Wright

  • Physician Assistant
  • Lakewood, CO
National Provider Identifier
1679335319
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0008584 Issued in CO
Practice address
2284 S Orchard St
Lakewood, CO 80228-6471
Phone
(815) 713-7779
NPI assigned
Jan 29, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 0008584 CO Primary

Addresses

Primary practice location

2284 S Orchard St
Lakewood, CO 80228-6471

Mailing address

2284 S Orchard St
Lakewood, CO 80228-6471
Phone (815) 713-7779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240531000197 CO Practitioner - Physician Assistant 1759723059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boulder Valley Center for Dermatology LLCGroup PAC ID 9335037159, 8 clinicians

Practice addresses (Care Compare)

1140 W S Boulder Rd
Suite 202
Lafayette, CO 80026-8910
Phone (303) 604-1444

1610 Prairie Ctr Pkwy
Suite 2230
Brighton, CO 80601-4008
Phone (303) 604-1444

3000 Ctr Green Dr
Suite 260
Boulder, CO 80301-2319
Phone (303) 604-1444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0008584COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Valley Center for Dermatology LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2831/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1679335319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2284 S ORCHARD ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802286471",
            "telephone_number": "815-713-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2284 S ORCHARD ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802286471",
            "telephone_number": "815-713-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "COLTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0008584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.