NPIMap

Organization Active NPI

Wright Life Chiropractic

  • Chiropractor
  • Bellevue, WA
National Provider Identifier
1831323609
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WRIGHT LIFE CHIROPRACTIC
Practice address
1299 156TH Ave NE
123
Bellevue, WA 98007-4599
Phone
(425) 614-4000
Fax
(425) 641-0880
NPI assigned
May 8, 2009
Last updated
Jan 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Authorized official

Name
Howard Wright Jr., DCNPI 1467531905
Title
Owner
Phone
(425) 614-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary
Massage Therapist 225700000X

Addresses

Primary practice location

1299 156TH Ave NE
123
Bellevue, WA 98007-4599

Mailing address

1299 156TH Ave NE
123
Bellevue, WA 98007-4599
Phone (425) 614-4000

Other identifiers 1

IdentifierTypeStateIssuer
602866819000OtherWAUBI #

Other names 1

  • Premier Chiropractic #4 PLLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090714000360 WA Part B Supplier - Clinic/Group Practice 1254483720 Receives reassigned benefits from 1 practitioner
Practice locations: Bellevue, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1831323609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 156TH AVE NE",
            "address_2": "123",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074599",
            "telephone_number": "425-614-4000",
            "fax_number": "425-641-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 156TH AVE NE",
            "address_2": "123",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074599",
            "telephone_number": "425-614-4000",
            "fax_number": "425-641-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHT LIFE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-614-4000",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBI #",
            "identifier": "602866819000",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Chiropractic #4 PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.