NPIMap

Organization Active NPI

Wagner Performance Chiropractic

  • Clinic/Center
  • Amarillo, TX
National Provider Identifier
1689355836
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WAGNER PERFORMANCE CHIROPRACTIC
Practice address
1001 SE 3Rd Ave
Amarillo, TX 79102-3201
Phone
(806) 318-0632
NPI assigned
Jul 31, 2023
Last updated
Jul 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Authorized official

Name
Dr. Grant Curtis Wagner, DC, MSHPNPI 1881378743
Title
Doctor/Owner
Phone
(575) 607-7097

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1001 SE 3Rd Ave
Amarillo, TX 79102-3201

Mailing address

6404 Nancy Ellen St
Amarillo, TX 79119-6325
Phone (575) 607-7097

National Provider Directory

National Provider Directory

Locations

1001 SE 3rd Ave
Amarillo, TX 79102
Phone (575) 607-7097

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1689355836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 NANCY ELLEN ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196325",
            "telephone_number": "575-607-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SE 3RD AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791023201",
            "telephone_number": "806-318-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGNER PERFORMANCE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "575-607-7097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, MSHP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.