Deedra Wright, DC, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DEEDRA WRIGHT, DC, PLLC

Doing business as

Champion Concierge Chiropractic

Practice address

1125 FM 1230
Roscoe, TX 79545-3313

Phone

(325) 721-6288

NPI assigned

Apr 5, 2019

Last updated

Apr 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Deedra Wright, DCNPI 1629532171

Title

Owner/ Chiropractor

Phone

(325) 721-6288

Specialties & licenses 1

Addresses

Other names 1

• Champion Concierge Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deedra Wright, DC

  • Chiropractor
  • Roscoe, TX
  • NPI 1629532171
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1700348901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 FM 1230",
            "city": "ROSCOE",
            "state": "TX",
            "postal_code": "795453313",
            "telephone_number": "325-721-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 FM 1230",
            "city": "ROSCOE",
            "state": "TX",
            "postal_code": "795453313",
            "telephone_number": "325-721-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEDRA WRIGHT, DC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DEEDRA",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTOR",
        "authorized_official_telephone_number": "325-721-6288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champion Concierge Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Candith Ranai Foster, RN
• Sadie G McCambridge
• Roscoe Healthcare
• Senior Living Properties LLC (Roscoe Healthcare Center)
• Patricia Shipp

• Chiropractor in Roscoe, TX
• Providers in Roscoe, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.