Active NPI
Jared Wright
- Contractor
- Berrien Springs, MI
National Provider Identifier
1689320475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 7085 M 139
Berrien Springs, MI 49103 - Phone
- (269) 414-8226
- NPI assigned
- Mar 1, 2022
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
7085 M 139
Berrien Springs, MI 49103
Mailing address
741 Broadway St Unit 24
Niles, MI 49120-7006
Phone (269) 414-8226
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1689320475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 BROADWAY ST UNIT 24",
"city": "NILES",
"state": "MI",
"postal_code": "491207006",
"telephone_number": "269-414-8226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7085 M 139",
"city": "BERRIEN SPRINGS",
"state": "MI",
"postal_code": "49103",
"telephone_number": "269-414-8226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "JARED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-01",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berrien Springs, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.