Wagner Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

WAGNER ORTHODONTICS

Practice address

1327 Bishop Rd
Chehalis, WA 98532-9263

Phone

(360) 748-6636

Fax

(360) 748-3176

NPI assigned

Sep 4, 2019

Organization subpart

Yes

Parent organization

PETER L. WAGNER, DMD, PLLCAs reported in NPPES

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

Authorized official

Name

Kristin Link

Title

Office Manager

Phone

(360) 748-6636

Specialties & licenses 1

Addresses

Other names 1

• WAGNER ORTHODONTICS Doing business as

Part of

Wagner Orthodontics

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Peter C Wagner DMD PS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Longview, WA
  • NPI 1831320993
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Louis Wagner, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chehalis, WA
  • NPI 1235676008
  NPD

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1003465964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 BISHOP RD",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985329263",
            "telephone_number": "360-748-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 BISHOP RD",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985329263",
            "telephone_number": "360-748-6636",
            "fax_number": "360-748-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGNER ORTHODONTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PETER L. WAGNER, DMD, PLLC",
        "enumeration_date": "2019-09-04",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "LINK",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-748-6636"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WAGNER ORTHODONTICS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WAGNER ORTHODONTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Naomi Veloso, PHARMD
• James Theodore Vento, DDS
• Paulo Vianney Vilela Rodrigues, PHD, MSN, RN, BS.
• Veronica Villarreal
• Ali Katherine Vyhmeister, MD
• Peter C. Wagner, D.M.D.
• Peter Louis Wagner, DMD
• Aimee Therese Wagonblast, ARNP
• Wal-Mart Stores, Inc
• Walgreen Co

• Orthodontics and Dentofacial Orthopedics Dentistry in Chehalis, WA
• Providers in Chehalis, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.