Waggoner & Waggoner DC LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002862A Issued in IN

Legal business name

WAGGONER & WAGGONER DC LLC

Practice address

400 Union St
Lagrange, IN 46761

Phone

(260) 499-4911

NPI assigned

May 26, 2017

Last updated

Jun 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chase Daniel Waggoner, D.C.NPI 1669844296

Title

President

Phone

(260) 499-4911

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chase Daniel Waggoner, D.C.

  • Chiropractor
  • Lagrange, IN
  • NPI 1669844296
  Medicare reassignment Care Compare group Authorized official
• Dustin Cunningham, DC

  • Chiropractor
  • Lagrange, IN
  • NPI 1265183263
  Medicare reassignment Care Compare group
• Anika Dion, D.C.

  • Chiropractor
  • Nappanee, IN
  • NPI 1679049639
  Medicare reassignment

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497312000000",
    "number": "1407384084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 UNION ST",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "467612286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 UNION ST",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "46761",
            "telephone_number": "260-499-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGGONER & WAGGONER DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-26",
        "last_updated": "2017-06-13",
        "status": "A",
        "authorized_official_last_name": "WAGGONER",
        "authorized_official_first_name": "CHASE",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-499-4911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002862A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Susan Thuillard
• Wade Troyer, DDS
• Eleonor Vanover, NP-C
• Amanda Venters
• Vistula Park Preschool, Inc. (LaGrange County Healthy Families)
• Chase Daniel Waggoner, D.C.
• Oliver Yuchong Wang, DDS
• Michelle Elaine Watson, COTA
• Ricky Lee Weidow, O.D.
• Blake Weimer, NP

• Chiropractor in Lagrange, IN
• Providers in Lagrange, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.