Active NPI
Charles Loren Wright, LMT
- Contractor
- Ogden, UT
National Provider Identifier
1720118060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 5692950-4701
- Practice address
- 1004 12TH St
Ogden, UT 84404-5143 - Phone
- (801) 791-0589
- NPI assigned
- Mar 6, 2007
- 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 | 5692950-4701 | UT | Primary |
Addresses
Primary practice location
1004 12TH St
Ogden, UT 84404-5143
Mailing address
1439 Olympic LN
Ogden, UT 84404-6074
Phone (801) 791-0589
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 |
|---|---|---|---|
| 5692950-4701 | UT | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720118060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1439 OLYMPIC LN",
"city": "OGDEN",
"state": "UT",
"postal_code": "844046074",
"telephone_number": "801-791-0589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 12TH ST",
"city": "OGDEN",
"state": "UT",
"postal_code": "844045143",
"telephone_number": "801-791-0589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "CHARLES",
"middle_name": "LOREN",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "UT",
"license": "5692950-4701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.