Organization Active NPI

Ward W. Wagner D.C., P.C.

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1144417957
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B885 Issued in NV
Legal business name
WARD W. WAGNER D.C., P.C.
Practice address
4618 Meadows LN
Las Vegas, NV 89107-2956
Phone
(702) 877-7777
Fax
(702) 822-2406
NPI assigned
Sep 26, 2007
Last updated
Sep 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Miss Janel Wagner, NONE
Title
Office Manager
Phone
(702) 877-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X B885 NV Primary

Addresses

Primary practice location

4618 Meadows LN
Las Vegas, NV 89107-2956

Mailing address

4618 Meadows LN
Las Vegas, NV 89107-2956
Phone (702) 877-7777

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1144417957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4618 MEADOWS LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072956",
            "telephone_number": "702-877-7777",
            "fax_number": "702-822-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4618 MEADOWS LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072956",
            "telephone_number": "702-877-7777",
            "fax_number": "702-822-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARD W. WAGNER D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "JANEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-877-7777",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "NONE"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.