Ashley Lynn Wagner, D.C.

Primary specialty

Pediatric ChiropractorTaxonomy code 111NP0017X

License

830 Issued in ND

Practice address

4719 Shelburne St Ste 2
Bismarck, ND 58503-5677

Phone

(701) 557-7455

NPI assigned

Oct 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• A L Wagner Family Chiropractic PC

  • Chiropractor
  • Mandan, ND
  • NPI 1790921856
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1982855888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4719 SHELBURNE ST STE 2",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035677",
            "telephone_number": "701-557-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4719 SHELBURNE ST STE 2",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035677",
            "telephone_number": "701-557-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ASHLEY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "ND",
            "license": "830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elida Rose Voth, MD
• Rachel Voyles
• Carly Vraa
• W G Paape
• Wagner Chiropractic, PC
• Barry D Wagner, DC
• Faith M Wagner, FNP-C
• Michelle Wagner, RD,LRD
• Scott Allen Wagner, MSOTR/L
• Sheila Wagner, FNP-C

• Pediatric Chiropractor in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Pediatric Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.