Active NPI
Joseph Vanwagner, DC
- Chiropractor
- Pittsburgh, PA
National Provider Identifier
1043628688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC010915
- Practice address
- 470 Home Dr
Pittsburgh, PA 15275-1204 - Phone
- (412) 787-7400
- Fax
- (412) 787-7407
- NPI assigned
- Jul 28, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC010915 | PA | Primary |
Addresses
Primary practice location
470 Home Dr
Pittsburgh, PA 15275-1204
Mailing address
470 Home Dr
Pittsburgh, PA 15275-1204
Phone (412) 787-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC010915 | Other | PA | STATE LISC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC010915 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Chiropractic and Rehabilitation LLC | Current | Accepting new patients |
Locations
1 Robinson Plz
Ste 140
Pittsburgh, PA 15205
Phone (412) 489-6036
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.
-
- Rehabilitation Chiropractor
- Pittsburgh, PA
- NPI 1417435025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457136000000",
"number": "1043628688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 HOME DR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152751204",
"telephone_number": "412-787-7400",
"fax_number": "412-787-7407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 HOME DR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152751204",
"telephone_number": "412-787-7400",
"fax_number": "412-787-7407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANWAGNER",
"first_name": "JOSEPH",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-28",
"last_updated": "2016-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC010915",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LISC",
"identifier": "DC010915",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.