Individual provider Active NPI

Mary K. Wright, D.C.

  • Chiropractor
  • Mountlake Terrace, WA
National Provider Identifier
1891828968
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002908 Issued in WA
Practice address
22002 64TH Ave W
Suite 2E
Mountlake Terrace, WA 98043-2528
Phone
(425) 774-7982
Fax
(425) 672-4464
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00002908 WA Primary

Addresses

Primary practice location

22002 64TH Ave W
Suite 2E
Mountlake Terrace, WA 98043-2528

Mailing address

22002 64TH Ave W
Suite 2E
Mountlake Terrace, WA 98043-2528
Phone (425) 774-7982

Other identifiers 1

IdentifierTypeStateIssuer
2022218MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040119000093 WA Practitioner - Chiropractic 6103727805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22002 64TH Ave W
Suite 2E
Mountlake Terrace, WA 98043-2547
Phone (425) 774-7982

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Life Health Center, Inc. Chiropractor CurrentSince Nov 29, 2017 Accepting new patients

Locations

22002 64th Ave W
Ste 2E
Mountlake Terrace, WA 98043
Phone (425) 774-7982

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891828968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22002 64TH AVE W",
            "address_2": "SUITE 2E",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432528",
            "telephone_number": "425-774-7982",
            "fax_number": "425-672-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22002 64TH AVE W",
            "address_2": "SUITE 2E",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432528",
            "telephone_number": "425-774-7982",
            "fax_number": "425-672-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "MARY",
        "middle_name": "K.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022218",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountlake Terrace, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.