Eric J. Wagner, DDS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6932 Issued in IA

Legal business name

ERIC J. WAGNER, DDS

Practice address

112 2ND Ave NW
Hampton, IA 50441-1724

Phone

(641) 456-2625

Fax

(641) 456-2404

NPI assigned

May 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Eric Wagner, DDSNPI 1326009143

Title

Owner

Phone

(641) 456-2625

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric John Wagner, D.D.S.

  • General Practice Dentistry
  • Hampton, IA
  • NPI 1326009143
  NPD (past) Authorized official
• Paul Arthur Sensor, D.D.S.

  • General Practice Dentistry
  • Hampton, IA
  • NPI 1861449670
  NPD (past)

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1659538593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 2ND AVE NW",
            "city": "HAMPTON",
            "state": "IA",
            "postal_code": "504411724",
            "telephone_number": "641-456-2625",
            "fax_number": "641-456-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 2ND AVE NW",
            "city": "HAMPTON",
            "state": "IA",
            "postal_code": "504411724",
            "telephone_number": "641-456-2625",
            "fax_number": "641-456-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC J. WAGNER, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-456-2625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "6932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71928",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, TYPE 1",
            "identifier": "1326009143",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Services of Franklin County
• Craig L Semler, O.D., P.C.
• Tori Nichole Dow, LMHC
• Dr. William B. Moore, P.C.
• Betsy J Engelbarts, SLP
• Crystal Foell
• Franklin County
• Franklin County
• Franklin County Home Care Service
• Franklin General Hospital

• Dental Clinic/Center in Hampton, IA
• Providers in Hampton, IA by specialty
• Dental Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.