Eric T. Wagar DMD, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60284727 Issued in WA

Legal business name

ERIC T. WAGAR DMD, PLLC

Practice address

16653 108TH Ave SE
Renton, WA 98055-5108

Phone

(425) 226-1244

NPI assigned

Aug 18, 2016

Last updated

Aug 18, 2016By 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

Eric T Wagar, DMDNPI 1134475320

Title

Dentist

Phone

(425) 226-1244

Specialties & licenses 1

Addresses

Locations

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.

• Eric Thomas Wagar, D.M.D.

  • General Practice Dentistry
  • Renton, WA
  • NPI 1134475320
  NPD (past) Authorized official
• Thomas A Caspers, DDS

  • General Practice Dentistry
  • Renton, WA
  • NPI 1770510992
  NPD (past)

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1538614680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16653 108TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16653 108TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555108",
            "telephone_number": "425-226-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC T. WAGAR DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "WAGAR",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-226-1244",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60284727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Simon Engley, RPH
• JC Ephraim Jr., CCC, SUDP, MHP, CAAL
• Epiphany Home Health Care LLC (New Life Home Care)
• Lisa A Erdahl, LMP
• Eric T Waterman MD, PLLC
• Michael A. Erickson, P.A.
• Danielle Erjavec, DNP, ARNP
• Erlamore Counseling and Consultation, PLLC (Iron Bear Counseling)
• Sasha Ernst, SLP
• Leeza Ershtein, DPT

• General Practice Dentistry in Renton, WA
• Providers in Renton, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.