Wagner & Schuman Dental Offices

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

DD788 Issued in NM

Legal business name

WAGNER & SCHUMAN DENTAL OFFICES

Practice address

201 Wyoming Blvd NE
Albuquerque, NM 87123-1029

Phone

(505) 266-5881

NPI assigned

Aug 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Max Wagner, D.O.

Title

Partner

Phone

(505) 266-5881

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1235386459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WYOMING BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871231029",
            "telephone_number": "505-266-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WYOMING BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871231029",
            "telephone_number": "505-266-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGNER & SCHUMAN DENTAL OFFICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "505-266-5881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "NM",
            "license": "DD788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda L.F. Waggener, CNP-BC
• Coral Jane Waggoner, RPSGT, RRT,CCSH,MBA
• Destiny M Waggoner, PH.D.
• Wende Waggoner, OD, MPH, MS
• Bikal Wagle
• Zo Wagner-Henninger
• Brianna Wagner, LMSW
• Diane Wagner, LISW
• Jeffrey Paul Wagner, DDS
• Jody Wagner, RN

• Public Health Dentistry in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Public Health Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.