David Louis Wagman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC004613L Issued in PA

Practice address

1500 Walnut St
MZ 05
Philadelphia, PA 19102-3523

Phone

(215) 546-5660

Fax

(215) 933-3120

NPI assigned

Jun 3, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1275571093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 FAIR MEADOW DR",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195181146",
            "telephone_number": "215-651-8180",
            "fax_number": "215-933-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WALNUT ST",
            "address_2": "MZ 05",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023523",
            "telephone_number": "215-546-5660",
            "fax_number": "215-933-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGMAN",
        "first_name": "DAVID",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004613L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0500541000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harsimran Kaur Wadwha
• Wafiya Home Care
• Suraji Wagage, PHD
• Maxwell Wagenknecht, LCSW
• Luke Waggoner, MD
• Joel I Wagman, MD
• Wagner Psychological Associates
• Abigail Wagner, DPT
• Beth A. Wagner, CRNP
• Brittany Wagner

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.