Ward Wallace Wagner, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

323936-1202 Issued in UT

Practice address

352 E Riverside Dr Ste A1
St George, UT 84790-6834

Phone

(435) 656-4441

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

No

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 UT

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wagner Chiropractic and Rehabilitation P.C.Group PAC ID 9537212857, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Wagner Chiropractic & Rehabilitation P.C.

  • Chiropractor
  • St George, UT
  • NPI 1972733806
  Medicare reassignment Care Compare group NPD Authorized official
• Advanced Sleep Appliances, LLC

  • Customized Equipment (DME)
  • St George, UT
  • NPI 1700676400
  NPD

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477604122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 MAJESTIC VIEW DR",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847802376",
            "telephone_number": "435-656-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 E RIVERSIDE DR STE A1",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847906834",
            "telephone_number": "435-656-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "WARD",
        "middle_name": "WALLACE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "323936-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Ned Wageman, D.C.
• Wagner Chiropractic & Rehabilitation P.C.
• Katherine Marie Wagner
• Michael Wagner, DMD
• Nicole J Wagner, FNP
• William Wagner, MD
• William J Wagner, MD
• Woodrow Wilson Wagner III, D.M.D.
• John Wahlen
• Wade Lee Wahlquist, RN, BSN

• Chiropractor in St George, UT
• Providers in St George, UT by specialty
• Chiropractor in Utah

• 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.