Wageman Chiropractic PC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

170227-1202 Issued in UT

Legal business name

WAGEMAN CHIROPRACTIC PC

Practice address

720 S River Rd
Ste. E-103
St George, UT 84790-5507

Phone

(435) 628-3500

Fax

(435) 628-0476

NPI assigned

Mar 29, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Randall Ned Wageman, D.C.NPI 1952451718

Title

President Wageman Chiropractic PC

Phone

(435) 628-3500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randall Ned Wageman, D.C.

  • Chiropractor
  • St George, UT
  • NPI 1952451718
  NPD (past) Authorized official

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1891038600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S RIVER RD",
            "address_2": "STE. E-103",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847905507",
            "telephone_number": "435-628-3500",
            "fax_number": "435-628-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S RIVER RD",
            "address_2": "STE. E-103",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847905507",
            "telephone_number": "435-628-3500",
            "fax_number": "435-628-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGEMAN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "WAGEMAN",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "NED",
        "authorized_official_title_or_position": "PRESIDENT WAGEMAN CHIROPRACTIC PC",
        "authorized_official_telephone_number": "435-628-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "UT",
            "license": "170227-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wasawat Vutthikraivit, MD
• Neeta Vyas, NP
• Amyee Dawn Wachter
• Cheyenne Wacker
• Brittney Lynn Wadsworth
• Randall Ned Wageman, D.C.
• Wagner Chiropractic & Rehabilitation P.C.
• Katherine Marie Wagner
• Michael Wagner, DMD
• Nicole J Wagner, FNP

• Nutrition Chiropractor in St George, UT
• Providers in St George, UT by specialty
• Nutrition Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.