Michael L Wagner, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00003618 Issued in WA

Practice address

9615 Levin Rd NW
Suite 100
Silverdale, WA 98383-7666

Phone

(360) 692-3800

Fax

(360) 692-3700

NPI assigned

Jul 10, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Wagner Family Chiropractic Center, PS

  • Chiropractor
  • Silverdale, WA
  • NPI 1366616757
  NPD (past) Authorized official

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1811921638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9615 LEVIN RD NW",
            "address_2": "SUITE 100",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837666",
            "telephone_number": "360-692-3800",
            "fax_number": "360-692-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9615 LEVIN RD NW",
            "address_2": "SUITE 100",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837666",
            "telephone_number": "360-692-3800",
            "fax_number": "360-692-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carey Penton Vorholt, LCSW
• Jessica Ann Wadding, MSW, SUDP
• Timothy Vincent Wade, MD
• Jeff Wadeikis, PTA
• Wagner Family Chiropractic Center, PS
• Michael Joseph Waldman, M.D.
• Rachel Waldman, PA-C
• Walgreen Co
• Wall Family Chiropractic
• Rohn Dale Wallace, SUBMARINE IDC

• Chiropractor in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.