Individual provider Active NPI

David J Wages, D.C.

  • Chiropractor
  • Brandon, FL
National Provider Identifier
1386610251
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8531 Issued in FL
Practice address
115 Margaret Street
Suite F
Brandon, FL 33511-5257
Phone
(813) 655-1310
Fax
(813) 655-1305
NPI assigned
Feb 28, 2006
Last updated
Oct 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8531 FL Primary

Addresses

Primary practice location

115 Margaret Street
Suite F
Brandon, FL 33511-5257

Mailing address

115 Margaret Street
Suite F
Brandon, FL 33511-5257
Phone (813) 655-1310

Other identifiers 1

IdentifierTypeStateIssuer
381642700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070303000035 FL Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 1355443706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Northwestern College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 Margaret St
F
Brandon, FL 33511-5257
Phone (813) 655-1310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8531FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advancedcare Chiropractic PA Chiropractor CurrentSince Apr 1, 2006 Accepting new patients

Locations

115 Margaret St
Ste F
Brandon, FL 33511
Phone (813) 385-4442

710 Oakfield Dr
Ste 266
Brandon, FL 33511
Phone (813) 655-1310

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1386610251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MARGARET STREET",
            "address_2": "SUITE F",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115257",
            "telephone_number": "813-655-1310",
            "fax_number": "813-655-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MARGARET STREET",
            "address_2": "SUITE F",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115257",
            "telephone_number": "813-655-1310",
            "fax_number": "813-655-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGES",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381642700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.