Chase Daniel Waggoner, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002862A Issued in IN

Practice address

400 Union St
Lagrange, IN 46761-2286

Phone

(260) 499-4911

NPI assigned

Oct 22, 2015

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 IN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Waggoner and Waggoner DC LLCGroup PAC ID 3870862857, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Waggoner & Waggoner DC LLC

  • Chiropractor
  • Lagrange, IN
  • NPI 1407384084
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1669844296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 UNION ST",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "467612286",
            "telephone_number": "260-499-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 UNION ST",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "467612286",
            "telephone_number": "260-499-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGGONER",
        "first_name": "CHASE",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002862A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wade Troyer, DDS
• Eleonor Vanover, NP-C
• Amanda Venters
• Vistula Park Preschool, Inc.
• Waggoner & Waggoner DC LLC
• Oliver Yuchong Wang, DDS
• Michelle Elaine Watson, COTA
• Ricky Lee Weidow, O.D.
• Blake Weimer, NP
• Kathleen Westling, LCSW

• Chiropractor in Lagrange, IN
• Providers in Lagrange, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.