Wagner Chiropractic Clinic P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WAGNER CHIROPRACTIC CLINIC P.C.

Practice address

9227 N Oak Trfy
Suite 101
Kansas City, MO 64155-3392

Phone

(816) 420-3072

Fax

(816) 420-3077

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Matthias Heinrich Wagner, D.C.NPI 1801951983

Title

President

Phone

(816) 420-3072

Specialties & licenses 2

Addresses

Other names 1

• Wagner Wellness Clinic Doing business as

Locations

Practitioners 1

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

• Matthias Heinrich Wagner, D.C.

  • Chiropractor
  • Kansas City, MO
  • NPI 1801951983
  NPD (past) Authorized official

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1679623391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9227 N OAK TRFY",
            "address_2": "SUITE 101",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641553392",
            "telephone_number": "816-420-3072",
            "fax_number": "816-420-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9227 N OAK TRFY",
            "address_2": "SUITE 101",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641553392",
            "telephone_number": "816-420-3072",
            "fax_number": "816-420-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGNER CHIROPRACTIC CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "MATTHIAS",
        "authorized_official_middle_name": "HEINRICH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-420-3072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wagner Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kerri Randene Wade, APRN, BC, PNP
• Tori Wade, RBT
• Lila Rose Wadsack, CPM
• Kole Wagener
• Stephanie Waggoner, DO
• Anne H. Wagner, PLPC
• Caleb Michael Wagner, DO
• Elizabeth Wagner
• Eulan Wagner, RN
• Falon Wagner

• Physical Therapist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.