Individual provider Active NPI

Douglas Cordell Wright, D.C.

  • Chiropractor
  • Hillsboro, MO
National Provider Identifier
1982675732
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006444 Issued in MO
Practice address
10655 Highway 21
Hillsboro, MO 63050-5094
Phone
(636) 789-2287
Fax
(636) 789-3371
NPI assigned
Jan 30, 2006
Last updated
Dec 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006444 MO Primary

Addresses

Primary practice location

10655 Highway 21
Hillsboro, MO 63050-5094

Mailing address

10655 Highway 21
Hillsboro, MO 63050-5094
Phone (636) 789-2287

Other identifiers 10

IdentifierTypeStateIssuer
288972OtherMOHEALTHLINK
431850003OtherHUMANA
4405200OtherMOMEDICARE COMPLETE
431850003OtherMOFIRST HEALTH
4405200OtherMOUNITED HEALTHCARE
5462510OtherMOAETNA
7708OtherMOBLUE CROSS/BLUE SHIELD
1030830OtherMOCIGNA
24852V34261OtherMOGHP
U60609OtherMOMERCY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110125000826 MO Practitioner - Chiropractic 0840479846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillsboro Sports Medicine PCGroup PAC ID 9931388931, 2 clinicians

Practice addresses (Care Compare)

10655 Business
Suite 21
Hillsboro, MO 63050-5094
Phone (636) 789-2287

4882 Southern Oaks
Hillsboro, MO 63050-5094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hillsboro Sports Medicine P.C. Chiropractor CurrentSince May 1, 2002 Accepting new patients
Browning Chiropractic Chiropractor PastSince Jun 10, 2014 Accepting new patients

Locations

10655 Business 21
Hillsboro, MO 63050
Phone (636) 209-7025

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1982675732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10655 HIGHWAY 21",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630505094",
            "telephone_number": "636-789-2287",
            "fax_number": "636-789-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10655 HIGHWAY 21",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630505094",
            "telephone_number": "636-789-2287",
            "fax_number": "636-789-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "DOUGLAS",
        "middle_name": "CORDELL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "288972",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "431850003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE COMPLETE",
            "identifier": "4405200",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "431850003",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "4405200",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5462510",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "7708",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1030830",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "24852V34261",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY",
            "identifier": "U60609",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.