Individual provider Active NPI

Charles Joshua Wachenschwanz

  • Private Vehicle
  • The Plains, OH
National Provider Identifier
1386901296
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
License
TF824203 Issued in OH
Practice address
10733 State Route 682
The Plains, OH 45780-1328
Phone
(740) 856-6731
NPI assigned
Apr 16, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X TF824203 OH Primary

Addresses

Primary practice location

10733 State Route 682
The Plains, OH 45780-1328

Mailing address

10733 State Route 682
The Plains, OH 45780-1328
Phone (740) 856-6731

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
TF824203OHMDPrivate Vehicle

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1386901296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10733 STATE ROUTE 682",
            "city": "THE PLAINS",
            "state": "OH",
            "postal_code": "457801328",
            "telephone_number": "740-856-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10733 STATE ROUTE 682",
            "city": "THE PLAINS",
            "state": "OH",
            "postal_code": "457801328",
            "telephone_number": "740-856-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHENSCHWANZ",
        "first_name": "CHARLES",
        "middle_name": "JOSHUA",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "OH",
            "license": "TF824203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Plains, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.