Organization Active NPI

Wagner Chiropractic Health Center Inc

  • Orthopedic Chiropractor
  • Palmyra, PA
National Provider Identifier
1861640864
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
DC003099L Issued in PA
Legal business name
WAGNER CHIROPRACTIC HEALTH CENTER INC
Practice address
4 N Railroad St
Palmyra, PA 17078-1720
Phone
(717) 838-9720
NPI assigned
Sep 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Authorized official

Name
Dr. Robert G Wagner, D.C.
Title
Chiropractor
Phone
(717) 838-8889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X DC003099L PA Primary

Addresses

Primary practice location

4 N Railroad St
Palmyra, PA 17078-1720

Mailing address

4 N Railroad St
Palmyra, PA 17078-1720

National Provider Directory

National Provider Directory

Locations

26 E Main St
Palmyra, PA 17078
Phone (717) 838-8889

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1861640864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 N RAILROAD ST",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170781720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 N RAILROAD ST",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170781720",
            "telephone_number": "717-838-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGNER CHIROPRACTIC HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "717-838-8889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "PA",
            "license": "DC003099L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmyra, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.