Active NPI
Wayne N Wright, DC
- Chiropractor
- Grand Rapids, MI
National Provider Identifier
1811039647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301002236
- Practice address
- 4301 13 Kalamazoo Ave
Grand Rapids, MI 49508-3673 - Phone
- (616) 455-7040
- Fax
- (616) 455-0189
- NPI assigned
- Feb 12, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301002236 | MI | Primary |
Addresses
Primary practice location
4301 13 Kalamazoo Ave
Grand Rapids, MI 49508-3673
Mailing address
4301 13 Kalamazoo Ave
Grand Rapids, MI 49508-3673
Phone (616) 455-7040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OD15060 | Other | MI | BCBS |
| WW002236 | Other | MI | PHYSICIAN'S REFERENCE # |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811039647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 13 KALAMAZOO AVE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495083673",
"telephone_number": "616-455-7040",
"fax_number": "616-455-0189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 13 KALAMAZOO AVE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495083673",
"telephone_number": "616-455-7040",
"fax_number": "616-455-0189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "WAYNE",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301002236",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "OD15060",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN'S REFERENCE #",
"identifier": "WW002236",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
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.