Robert P Wagner DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ROBERT P WAGNER DMD PC

Practice address

1216 16TH St W
Suite 34
Billings, MT 59102-4100

Phone

(406) 259-1938

NPI assigned

Jun 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert P Wagner, DMD

Title

President

Phone

40625491938

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861697484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 16TH ST W",
            "address_2": "SUITE 34",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024100",
            "telephone_number": "406-259-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 16TH ST W",
            "address_2": "SUITE 34",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024100",
            "telephone_number": "406-259-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT P WAGNER DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "40625491938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5512573",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13-7449",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Roan I, LAC
• Linda Robbins, LCPC
• Robert Bakko D Min LCPC PC
• Robert Knutson P.C.
• Robert Larson, DC PC
• Robert T Ruble, M.D., P.C.
• Aimee Roberts, OTR/L
• Bradley Roberts, ACNP-BC
• Cherish L Roberts, LCPC
• David B Roberts, MD

• General Practice Dentistry in Billings, MT
• Providers in Billings, MT by specialty
• General Practice Dentistry in Montana

• 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.