David a Wagner DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN13625 Issued in FL

Legal business name

DAVID A WAGNER DDS

Practice address

3023 Eastland Blvd
Suite 112
Clearwater, FL 33761-4106

Phone

(727) 797-5161

Fax

(727) 797-5121

NPI assigned

Aug 12, 2016

Last updated

Feb 28, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Alan Wagner, D.D.SNPI 1558532333

Title

Owner/Dentist

Phone

(727) 797-5161

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Alan Wagner, D.D.S.

  • Dentist
  • Clearwater, FL
  • NPI 1558532333
  NPD (past) Authorized official

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1952855470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 EASTLAND BLVD",
            "address_2": "SUITE 112",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614106",
            "telephone_number": "727-797-5161",
            "fax_number": "727-797-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 EASTLAND BLVD",
            "address_2": "SUITE 112",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614106",
            "telephone_number": "727-797-5161",
            "fax_number": "727-797-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A WAGNER DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "727-797-5161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "DN13625",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Daughhetee
• Tonya L Daughtry
• Cathy M Daumen, ARNP
• David a Beach DMD Ms PA
• David a Petersen MD PA
• David H Shapiro MD PA
• David J. Pizzi PLLC
• David Robinson MD PA
• David S Petrik DDS PA
• David W Mayer Chiropractic Inc (Mayer Chiropractic Clinic)

• Dentist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.