Individual provider Active NPI

Danta Roger Wright

  • Health Service Clinic/Center
  • Ann Arbor, MI
National Provider Identifier
1871181693
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Practice address
2075 W Stadium Blvd Unit 1703
Ann Arbor, MI 48106-7726
Phone
(734) 846-2916
Fax
(734) 270-6381
NPI assigned
Jan 7, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

2075 W Stadium Blvd Unit 1703
Ann Arbor, MI 48106-7726

Mailing address

2075 W Stadium Blvd Unit 1703
Ann Arbor, MI 48106-7726
Phone (734) 846-2916

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ride Along Transportation Service LLC CurrentSince Oct 29, 2023 Accepting new patients
Healing Hands Living Assistance Services L.L.C. Current Accepting new patients

Locations

2075 W Stadium Blvd
Unit 1703
Ann Arbor, MI 48106
Phone (734) 846-2916

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1871181693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 W STADIUM BLVD UNIT 1703",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481067726",
            "telephone_number": "734-846-2916",
            "fax_number": "734-270-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 W STADIUM BLVD UNIT 1703",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481067726",
            "telephone_number": "734-846-2916",
            "fax_number": "734-270-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "DANTA",
        "middle_name": "ROGER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.