Daniel J Wagner, D. C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15064 Issued in CA

Practice address

2922 De la Vina St
Santa Barbara, CA 93105-3372

Phone

(805) 682-2407

Fax

(805) 569-5673

NPI assigned

Aug 25, 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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Craviotto Chiropractic Corp.

  • Chiropractor
  • Santa Barbara, CA
  • NPI 1861502700
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376651075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 DE LA VINA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053372",
            "telephone_number": "805-682-2407",
            "fax_number": "805-569-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 DE LA VINA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053372",
            "telephone_number": "805-682-2407",
            "fax_number": "805-569-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D. C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "15064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quang Duc Vu, PHARM D
• Janet Vucinich, BA
• Shruthi Reddy Vudem
• Beth Wagland
• Anita L. Wagner
• Jeanne Marie Wagner, L. AC
• Kirsten Wagner, M.D.
• Kurt Wagner, M.D.
• Kathryn Adele Wagstaff, MD
• Brian P Walcott, MD

• Chiropractor in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.