Wagner Family Chiropractic Center, PS

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00003618 Issued in WA

Legal business name

WAGNER FAMILY CHIROPRACTIC CENTER, PS

Practice address

9615 Levin Rd NW
Suite 100
Silverdale, WA 98383-7666

Phone

(360) 692-3800

Fax

(360) 692-3700

NPI assigned

Apr 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael Wagner, D.C.NPI 1811921638

Title

President/Ceo

Phone

(360) 692-3800

Specialties & licenses 1

Addresses

Other names 1

• Upper Cervical Health Centers of America Doing business as

Locations

Practitioners 1

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

• Michael L Wagner, DC

  • Chiropractor
  • Silverdale, WA
  • NPI 1811921638
  NPD (past) Authorized official

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1366616757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9615 LEVIN RD NW",
            "address_2": "SUITE 100",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837666",
            "telephone_number": "360-692-3800",
            "fax_number": "360-692-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9615 LEVIN RD NW",
            "address_2": "SUITE 100",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837666",
            "telephone_number": "360-692-3800",
            "fax_number": "360-692-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGNER FAMILY CHIROPRACTIC CENTER, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "360-692-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upper Cervical Health Centers of America",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Vogt, CBD
• Carey Penton Vorholt, LCSW
• Jessica Ann Wadding, MSW, SUDP
• Timothy Vincent Wade, MD
• Jeff Wadeikis, PTA
• Michael L Wagner, DC
• Michael Joseph Waldman, M.D.
• Rachel Waldman, PA-C
• Walgreen Co
• Wall Family Chiropractic

• Chiropractor in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.