Van Wagner Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10841 Issued in FL

Legal business name

VAN WAGNER CHIROPRACTIC

Practice address

7550 Mission Hills Dr
Suite 316
Naples, FL 34119-9603

Phone

(239) 775-6416

Fax

(239) 775-6407

NPI assigned

Aug 13, 2013

Last updated

Aug 13, 2013By 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. Jared Anthony Van Wagner, D.C.NPI 1124158167

Title

Owner

Phone

(239) 775-6416

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

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.

• Jared A Vanwagner, D.C.

  • Chiropractor
  • Naples, FL
  • NPI 1124158167
  Medicare reassignment NPD Authorized official
• William S Billmyre, D.C.

  • Chiropractor
  • Naples, FL
  • NPI 1144257957
  NPD (past)

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1467885517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 MISSION HILLS DR",
            "address_2": "SUITE 316",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341199603",
            "telephone_number": "239-775-6416",
            "fax_number": "239-775-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 MISSION HILLS DR",
            "address_2": "SUITE 316",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341199603",
            "telephone_number": "239-775-6416",
            "fax_number": "239-775-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN WAGNER CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "VAN WAGNER",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-775-6416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent Van Gemert, MPT
• Stephanie Danielle Van Heerden, D.P.M.
• Jonathan Jason Van Heertum, D.O.
• Jodi Van Sickle
• Amy Van Slambrook, LMHC
• Vanbuskirk Opticians
• Kristen Vance, MS, OT/L
• Nancy J Vance, MD
• Tonny Vandehee, PT
• Amy Vanderaar

• Chiropractor in Naples, FL
• Providers in Naples, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.