William Cole Waggener IV, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN23307 Issued in FL

Practice address

115 Parnell St
Merritt Island, FL 32953-4715

Phone

(321) 452-8190

NPI assigned

May 15, 2018

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Frederick H. Waggener DDS PA

  • General Practice Dentistry
  • Merritt Island, FL
  • NPI 1215159058
  NPD (past)

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1184114241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PARNELL ST",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PARNELL ST",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534715",
            "telephone_number": "321-452-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGGENER",
        "first_name": "WILLIAM",
        "middle_name": "COLE",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie-Claire D Villanueva, D.P.M.
• Robert A Ville, DC
• Risa L Vinarub, DPM
• Vip Neurology
• Frederick H Waggener, DDS
• Timothy Michael Wahl, D.M.D.
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0771)
• Wal-Mart Stores East, LP (Vision Center 30-0771)
• Aprille Waldrop, LCSW
• Walgreen Co (Walgreens #09959)

• General Practice Dentistry in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.