Wagner Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8955 Issued in FL

Legal business name

WAGNER CHIROPRACTIC PA

Practice address

2755 S Bay St
Suite D
Eustis, FL 32726-6587

Phone

(352) 589-5443

Fax

(352) 589-5549

NPI assigned

Nov 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ramah J Wagner, D.C.

Title

Physician

Phone

(352) 589-5543

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danielle Nicole Menneto, D.C.

  • Chiropractor
  • Port Orange, FL
  • NPI 1659695583
  NPD (past)

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1346420114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 S BAY ST",
            "address_2": "SUITE D",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266587",
            "telephone_number": "352-589-5443",
            "fax_number": "352-589-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 S BAY ST",
            "address_2": "SUITE D",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266587",
            "telephone_number": "352-589-5443",
            "fax_number": "352-589-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGNER CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "RAMAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "352-589-5543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "96871",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Vineyard
• April Vitale
• Vitruvian Health Corporation
• VMD Primary Providers Central Florida PLLC
• Jessica Gitta Wadkins
• Amelia Wagner
• Nicole Wagner, M.S.
• Ramah J Wagner, D.C.
• Nicole Walfall, MS-SLP
• Walgreen Co

• Chiropractor in Eustis, FL
• Providers in Eustis, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.