Jared A Vanwagner, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10841 Issued in FL

Practice address

7550 Mission Hills Dr
Suite 316
Naples, FL 34119-9603

Phone

(239) 775-6416

Fax

(239) 775-6407

NPI assigned

Mar 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

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.

• Van Wagner Chiropractic

  • Chiropractor
  • Naples, FL
  • NPI 1467885517
  Medicare reassignment NPD Authorized official
• Lakeview Chiropractic Inc

  • Chiropractor
  • Port Huron, MI
  • NPI 1841348695
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1124158167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 MISSION HILLS DR",
            "address_2": "SUITE 316",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341199603",
            "telephone_number": "239-775-6416",
            "fax_number": "239-775-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 MISSION HILLS DR",
            "address_2": "SUITE 316",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341199603",
            "telephone_number": "239-775-6416",
            "fax_number": "239-775-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANWAGNER",
        "first_name": "JARED",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009240",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanguard Spine and Pain PLLC
• Ariella Vanhara
• Amy Grace Vanosdale, PAC
• Robert H Vanpatten II, RPH
• Lisa Vanvooren
• Marilyn J Varcoe, PHD
• Siomara Varela
• Dayani Varens Naranjo, RBT
• Variety Children'S Hospital
• Sarah Katherine Varnak, APRN

• Chiropractor in Naples, FL
• Providers in Naples, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.

Verify at the official NPI Registry.