Wagner Chiropractic Center PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC010272 Issued in PA

Legal business name

WAGNER CHIROPRACTIC CENTER PLLC

Practice address

4 N Railroad St
Palmyra, PA 17078-1720

Phone

(717) 838-8889

NPI assigned

May 25, 2010

Last updated

May 25, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Branden Elliott Teets, D.C.

Title

Sole Member

Phone

(724) 880-2989

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert G. Wagner, D.C.

  • Orthopedic Chiropractor
  • Palmyra, PA
  • NPI 1811945736
  NPD (past)

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1225357650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 N RAILROAD ST",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170781720",
            "telephone_number": "717-838-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 N RAILROAD ST",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170781720",
            "telephone_number": "717-838-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGNER CHIROPRACTIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "TEETS",
        "authorized_official_first_name": "BRANDEN",
        "authorized_official_middle_name": "ELLIOTT",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "724-880-2989",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theosis Therapeutic Counseling
• Matthew E Thomas
• David T Thoryk, M.D.
• Timothy R. Corl OD, PC
• Michael Valle
• Wagner Chiropractic Health Center Inc
• J Kent L Wagner, MD
• Robert G. Wagner, D.C.
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2888)
• Wal-Mart Stores East, LP (Vision Center 30-2888)

• Chiropractor in Palmyra, PA
• Providers in Palmyra, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.