Richard W Wagner Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7701 Issued in NC

Practice address

123 W Franklin St
Suite 201
Chapel Hill, NC 27516-2524

Phone

(919) 967-9291

Fax

(919) 942-4446

NPI assigned

Jun 11, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Jeffrey R Kennedy DDS PA

  • General Practice Dentistry
  • Chapel Hill, NC
  • NPI 1780607812
  NPD (past)

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1043470214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 W FRANKLIN ST",
            "address_2": "SUITE 201",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275162524",
            "telephone_number": "919-967-9291",
            "fax_number": "919-942-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W FRANKLIN ST",
            "address_2": "SUITE 201",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275162524",
            "telephone_number": "919-967-9291",
            "fax_number": "919-942-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "RICHARD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADA",
            "identifier": "098741004",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Taylor Wade, MD
• George Lane Wagaman Jr., ED.D.
• Bonnie Alexander Wagner, PA-C, RDN
• Jeanne Wagner, LCSW
• Jolynn Marie Wagner, DPT
• Sandra M Wagner, PA-C
• Shaun R. Wagner, D.O.
• Sibyl Maureen Wagner, MSW, LCSW
• Andrew Johnston Wagoner, D.D.S
• Joel M Wagoner, DDS

• General Practice Dentistry in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.