Individual provider Active NPI

Tyler Ross Wright, DC

  • Chiropractor
  • Anchorage, AK
National Provider Identifier
1891200762
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
776 Issued in WY
Practice address
7216 Lake Otis Pkwy
Anchorage, AK 99507-2740
Phone
(907) 720-2132
NPI assigned
Dec 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 776 WY Primary

Addresses

Primary practice location

7216 Lake Otis Pkwy
Anchorage, AK 99507-2740

Mailing address

PO Box 230662
Anchorage, AK 99523-0662
Phone (907) 720-2132

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250129002034 AK Practitioner - Chiropractic 5991148561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7216 Lake Otis Pkwy
Anchorage, AK 99507-2740
Phone (907) 720-2132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
776WYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
JH Backcountry Health LLC CurrentSince Feb 19, 2024 Accepting new patients

Locations

12201 Industry Way
Ste D1
Anchorage, AK 99515
Phone (907) 720-2132

7216 Lake Otis Pkwy
Anchorage, AK 99507
Phone (907) 720-2132

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.

NPI Registry JSON

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1891200762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230662",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995230662",
            "telephone_number": "907-720-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7216 LAKE OTIS PKWY",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995072740",
            "telephone_number": "907-720-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "TYLER",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-13",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.

Verify at the official NPI Registry.