Individual provider Active NPI

Megan Marie Wagner, D.C.

  • Chiropractor
  • Eugene, OR
National Provider Identifier
1831412022
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4008 Issued in OR
Practice address
1000 River Rd
Eugene, OR 97404-3230
Phone
(541) 689-0935
Fax
(541) 461-6884
NPI assigned
Mar 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4008 OR Primary

Addresses

Primary practice location

1000 River Rd
Eugene, OR 97404-3230

Mailing address

1000 River Rd
Eugene, OR 97404-3230
Phone (541) 689-0935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100528000602 OR Practitioner - Chiropractic 5597894527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Tracy and Keim Chiropractic,LLCGroup PAC ID 0749367803, 2 clinicians

Practice addresses (Care Compare)

1000 River Rd
Eugene, OR 97404-3230
Phone (541) 689-0935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4008ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tracy & Keim Chiropractic,LLC Chiropractor CurrentSince Mar 1, 2010 Accepting new patients

Locations

1000 River Rd
Eugene, OR 97404
Phone (541) 689-0395

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267488000000",
    "number": "1831412022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 RIVER RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974043230",
            "telephone_number": "541-689-0935",
            "fax_number": "541-461-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 RIVER RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974043230",
            "telephone_number": "541-689-0935",
            "fax_number": "541-461-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "MEGAN",
        "middle_name": "MARIE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "4008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.