Michael E Wagner, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

AO5587 Issued in IA

Practice address

8553 Hickman Rd
Urbandale, IA 50322-4321

Phone

(515) 270-5868

Fax

(515) 270-5878

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.9 of 100Reported as individual

Quality

95

Improvement activities

40

Cost

79.68

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wagner Family Chiropractic Clinic Inc.

  • Chiropractor
  • Urbandale, IA
  • NPI 1376664995
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083719942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8553 HICKMAN RD",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224321",
            "telephone_number": "515-270-5868",
            "fax_number": "515-270-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8553 HICKMAN RD",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224321",
            "telephone_number": "515-270-5868",
            "fax_number": "515-270-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "AO5587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0076968",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kassandra Wabshaw
• Wadle & Associates PC
• Wadle & Associates PC
• Charles Vincent Wadle, D.O.
• Wagner Family Chiropractic Clinic Inc.
• Lisa Waknitz
• Michele Grace Wald, LMSW
• Walgreen Co (Walgreens #04973)
• Walgreen Co (Walgreens #03773)
• Carolyn R Walker, ARNP

• Chiropractor in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Chiropractor in Iowa

• 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.