Active NPI
Charles Kent Wright, MD
- Family Medicine Physician
- Fort Smith, AR
National Provider Identifier
1811090848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C7768
- Practice address
- 1901 Boston St.
Fort Smith, AR 72901 - Phone
- (479) 782-0075
- Fax
- (479) 782-0090
- NPI assigned
- Sep 6, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C7768 | AR | Primary |
Addresses
Primary practice location
1901 Boston St.
Fort Smith, AR 72901
Mailing address
P.O. Box 130
Ratcliff, AR 72951
Phone (479) 635-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122295001 | Medicaid | AR |
Other names 1
- Dr. C. Kent Wright
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7768 | AR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462320000000",
"number": "1811090848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 130",
"city": "RATCLIFF",
"state": "AR",
"postal_code": "72951",
"telephone_number": "479-635-5700",
"fax_number": "479-635-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 BOSTON ST.",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "72901",
"telephone_number": "479-782-0075",
"fax_number": "479-782-0090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "CHARLES",
"middle_name": "KENT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2016-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "C7768",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122295001",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "C.",
"last_name": "WRIGHT",
"middle_name": "KENT",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.