Daniel Leroy Waggoner, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

45087 Issued in CT

Practice address

196 Waterford Pkwy S Ste 305B
Waterford, CT 06385-1245

Phone

(860) 536-2995

Fax

(860) 536-7098

NPI assigned

Feb 21, 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 CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/Immunology

Education

University of South Alabama College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoreline Allergy and Asthma Associates LLPGroup PAC ID 9739157819, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71115

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.

• Shoreline Allergy & Asthma Associates LLP

  • Allergy Physician
  • Waterford, CT
  • NPI 1881757243
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1558406066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 WATERFORD PKWY S STE 305B",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851245",
            "telephone_number": "860-536-2995",
            "fax_number": "860-536-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 WATERFORD PKWY S STE 305B",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851245",
            "telephone_number": "860-536-2995",
            "fax_number": "860-536-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGGONER",
        "first_name": "DANIEL",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CT",
            "license": "45087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocelma Macapagal Valido, BSN, RN
• Joshua D Vallee, PHARMD
• Richard Lord Vincent, M.D.
• Visiting Nurse Association of Southeastern Connecticut
• Dmitry Volkin, M.D.
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP.
• Walgreen Co
• Caitlin Alice Ward, LCSW
• Waterbury Yellow Cab and Service Company, Inc.

• Allergy & Immunology Physician in Waterford, CT
• Providers in Waterford, CT by specialty
• Allergy & Immunology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.