Active NPI
Daniel Wright, DO
- Pediatrics Physician
- Waterloo, IA
National Provider Identifier
1831174663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 03161
- Practice address
- 2710 Saint Francis Dr Ste 510
Waterloo, IA 50702-5620 - Phone
- (319) 272-5000
- NPI assigned
- Dec 14, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 03161 | IA | Primary |
Addresses
Primary practice location
2710 Saint Francis Dr Ste 510
Waterloo, IA 50702-5620
Mailing address
400 Derbyshire Rd
Waterloo, IA 50701-4257
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34965 | Other | IA | WELLMARK |
| 0076372 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03161 | IA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Covenant Medical Center Inc | Current | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients | |
| Covenant Medical Center Inc | Past | Accepting new patients |
Locations
226 Bluebell Rd
Cedar Falls, IA 50613
Phone (319) 575-5800
2710 Saint Francis Dr
Ste 510
Waterloo, IA 50702
905 Franklin St
Waterloo, IA 50703
Phone (319) 272-4300
3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050
Interoperability endpoints
- dwright3938044@direct.trinity-health.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Waterloo, IA
- NPI 1548288160
-
- Customized Equipment (DME)
- Evansdale, IA
- NPI 1851141980
-
- General Acute Care Hospital
- Waterloo, IA
- NPI 1700827896
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520899200000",
"number": "1831174663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 DERBYSHIRE RD",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507014257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 SAINT FRANCIS DR STE 510",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025620",
"telephone_number": "319-272-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "DANIEL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2018-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IA",
"license": "03161",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "34965",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0076372",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.