Individual provider Active NPI

James Colin Wagner, D.C.

  • Chiropractor
  • Westminster, CO
National Provider Identifier
1366527376
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3410 Issued in CO
Practice address
7403 Church Ranch Blvd
Suite 109
Westminster, CO 80021-6074
Phone
(303) 420-4560
Fax
(303) 438-1615
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3410 CO Primary

Addresses

Primary practice location

7403 Church Ranch Blvd
Suite 109
Westminster, CO 80021-6074

Mailing address

7403 Church Ranch Blvd.
Suite 109
Westminster, CO 80021-8609
Phone (303) 420-4560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3410COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Westminster Chiropractic Corp Chiropractor Past Accepting new patients
Dr. Peter Ray LLC Chiropractor Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1366527376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7403 CHURCH RANCH BLVD.",
            "address_2": "SUITE 109",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800218609",
            "telephone_number": "303-420-4560",
            "fax_number": "303-438-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7403 CHURCH RANCH BLVD",
            "address_2": "SUITE 109",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800216074",
            "telephone_number": "303-420-4560",
            "fax_number": "303-438-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "JAMES",
        "middle_name": "COLIN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "3410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

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