Wagner Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

742 Issued in MT

Legal business name

WAGNER CHIROPRACTIC, PLLC

Practice address

213 N Haynes
Miles City, MT 59301

Phone

(406) 234-2225

Fax

(406) 234-3500

NPI assigned

Feb 13, 2008

Organization subpart

No

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

Authorized official

Name

Robert J Wagner, D.C.NPI 1154413003

Title

Owner

Phone

(406) 951-1199

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 1

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

• Robert John Wagner, DC

  • Chiropractor
  • Miles City, MT
  • NPI 1154413003
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1902074966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 N HAYNES",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "59301",
            "telephone_number": "406-234-2225",
            "fax_number": "406-234-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N HAYNES",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "59301",
            "telephone_number": "406-234-2225",
            "fax_number": "406-234-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGNER CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-951-1199",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Marie Vanni, PHARMD, RPH
• Raylene Vassau, LAC, PCLC
• Elaine Vera, LAC
• Frank Vonbannisseht, LAC
• Sarah Lynn Waarvik, M.A., CCC-SLP
• Robert John Wagner, DC
• Wal-Mart Stores, Inc. Dba Wal-Mart
• Sharlene Wallace
• William T Wallick Jr., D.C.
• Walmart Inc.

• Chiropractor in Miles City, MT
• Providers in Miles City, MT by specialty
• Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.