NPIMap

Organization Active NPI

Jamey P. Wagner P.C.

  • Chiropractor
  • Madison, AL
National Provider Identifier
1568705176
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1765 Issued in AL
Legal business name
JAMEY P. WAGNER P.C.
Practice address
8103 Highway 72 W
Suite C
Madison, AL 35758-9528
Phone
(256) 864-8470
Fax
(256) 864-8470
NPI assigned
Apr 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

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

Authorized official

Name
Dr. Jamey Paul Wagner, D.C.
Title
President
Phone
(256) 864-8470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1765 AL Primary

Addresses

Primary practice location

8103 Highway 72 W
Suite C
Madison, AL 35758-9528

Mailing address

8103 Highway 72 W
Suite C
Madison, AL 35758-9528
Phone (256) 864-8470

National Provider Directory

National Provider Directory

Locations

8103 Highway 72 W
Ste C
Madison, AL 35758
Phone (256) 864-8470

NPI Registry JSON

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364860800000",
    "number": "1568705176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8103 HIGHWAY 72 W",
            "address_2": "SUITE C",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589528",
            "telephone_number": "256-864-8470",
            "fax_number": "256-864-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8103 HIGHWAY 72 W",
            "address_2": "SUITE C",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589528",
            "telephone_number": "256-864-8470",
            "fax_number": "256-864-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMEY P. WAGNER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-02",
        "last_updated": "2013-04-02",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "JAMEY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-864-8470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.