Active NPI
Donald Lee Wright, D.C.
- Chiropractor
- Normal, IL
National Provider Identifier
1881743771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038005831
- Practice address
- 406 N Beech St
Suite a
Normal, IL 61761-1999 - Phone
- (309) 454-1800
- Fax
- (309) 454-1919
- NPI assigned
- Jan 9, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038005831 | IL | Primary |
Addresses
Primary practice location
406 N Beech St
Suite a
Normal, IL 61761-1999
Mailing address
502 Plumage CT
Normal, IL 61761-5616
Phone (309) 452-1800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038005831 | Medicaid | IL | |
| 05715399 | Other | IL | BLUE CROSS BLUE SHIELD IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081124000239 | IL | Practitioner - Chiropractic | 3375603111 | Practice locations: Normal, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
406 N Beech St a
Normal, IL 61761-1815
Phone (309) 454-1800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038005831 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wright Chiropractic Health Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Medical Specialty Clinic/Center
- Normal, IL
- NPI 1871768044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226448000000",
"number": "1881743771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 PLUMAGE CT",
"city": "NORMAL",
"state": "IL",
"postal_code": "617615616",
"telephone_number": "309-452-1800",
"fax_number": "309-454-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 N BEECH ST",
"address_2": "SUITE A",
"city": "NORMAL",
"state": "IL",
"postal_code": "617611999",
"telephone_number": "309-454-1800",
"fax_number": "309-454-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "DONALD",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2008-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038005831",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038005831",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD IL",
"identifier": "05715399",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Normal, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.