Robert John Wagner, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

742 Issued in MT

Practice address

213 N Haynes Ave
Miles City, MT 59301-5615

Phone

(406) 234-2225

Fax

(406) 224-3500

NPI assigned

Sep 29, 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

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Wagner Chiropractic, PLLC

  • Chiropractor
  • Miles City, MT
  • NPI 1902074966
  Medicare reassignment Authorized official
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)
• O My-Back,Inc

  • Chiropractor
  • Miles City, MT
  • NPI 1194942987
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1154413003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 N HAYNES AVE",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593015615",
            "telephone_number": "406-234-2225",
            "fax_number": "406-224-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N HAYNES AVE",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593015615",
            "telephone_number": "406-234-2225",
            "fax_number": "406-224-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raylene Vassau, LAC, PCLC
• Elaine Vera, LAC
• Frank Vonbannisseht, LAC
• Sarah Lynn Waarvik, M.A., CCC-SLP
• Wagner Chiropractic, PLLC
• Wal-Mart Stores, Inc. Dba Wal-Mart
• Sharlene Wallace
• William T Wallick Jr., D.C.
• Walmart Inc.
• Ashley Watson

• Chiropractor in Miles City, MT
• Providers in Miles City, MT by specialty
• Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.