David a. Wagner, DMD, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DAVID A. WAGNER, DMD, PA

Practice address

43 East Mills Street
Columbus, NC 28722

Phone

(828) 894-8291

Fax

(828) 894-5124

NPI assigned

Nov 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David A Wagner Sr., D.M.D.

Title

President

Phone

(828) 894-8291

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Caleb J Tinsley Sr., DDS

  • General Practice Dentistry
  • Columbus, NC
  • NPI 1992549760
  NPD (past)
• Shane Van Oostendorp, DDS

  • Dentist
  • Columbus, NC
  • NPI 1679125488
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699847335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 275",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287220275",
            "telephone_number": "828-894-8291",
            "fax_number": "828-894-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 EAST MILLS STREET",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "28722",
            "telephone_number": "828-894-8291",
            "fax_number": "828-894-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. WAGNER, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-894-8291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "015MP",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Lynn Cox, PMHNP-BC
• Mary Frances Crivellone, M.S.
• Lynn Pope Crocker, R.PH.
• Ellen Strowd Crouch, LPT
• CSL Laurelhurst NC, LLC
• David C Cotty DMD & Associates PA
• Melissa Gilliam Davis, PT
• Gerald Orbia Deel, AGPCNP-BC
• Matthew Devlin, DC
• Cami Lockhart Dotson, REGISTEREED FITTER-M

• General Practice Dentistry in Columbus, NC
• Providers in Columbus, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.