Active NPI
Howard Wagenberg, DPM
- Podiatrist
- Merrimack, NH
National Provider Identifier
1992781975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 157
- Practice address
- 24 Heron Cove Dr
Merrimack, NH 03054-4866 - Phone
- (603) 880-9177
- NPI assigned
- Dec 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 157 | NH | Primary |
Addresses
Primary practice location
24 Heron Cove Dr
Merrimack, NH 03054-4866
Mailing address
24 Heron Cove Dr
Merrimack, NH 03054-4866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 157 | NH | MD | Podiatrist |
| 0157 | NH | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1992781975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 HERON COVE DR",
"city": "MERRIMACK",
"state": "NH",
"postal_code": "030544866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 HERON COVE DR",
"city": "MERRIMACK",
"state": "NH",
"postal_code": "030544866",
"telephone_number": "603-880-9177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGENBERG",
"first_name": "HOWARD",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NH",
"license": "157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merrimack, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.