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DR. STEPHEN A. WAGNER DDS
NPI 1336131267
Dentist - Prosthodontics in Albuquerque, NM

Active since August 17, 2005Opted out of Medicare · through Apr 1, 2027
801 ENCINO PL NE, SUITE A-3, ALBUQUERQUE, NM 87102(505) 232-3588(505) 232-3593 Get Directions Write a Review

NPPES record last updated: April 30, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Stephen A. Wagner Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHEN A. WAGNER DDS (NPI 1336131267) is an individual prosthodontics provider in Albuquerque, New Mexico, licensed in New Mexico (1150) and active in the NPI registry since August 2005. He has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1336131267
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameDR. STEPHEN A. WAGNERCredential: DDS
Location Address801 ENCINO PL NE, SUITE A-3Albuquerque, NM 87102-2612
Mailing Address801 Encino Pl Ne, Suite A-3Albuquerque, NM 87102-2612 · (505) 232-3588 · Fax (505) 232-3593
Phone(505) 232-3588
Fax(505) 232-3593
Sole ProprietorYes
Enumeration DateAugust 17, 2005
Last NPPES UpdateApril 30, 2014
✔ NPI 1336131267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in NM · 1150
Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

801 ENCINO PL NE, Albuquerque, NM 87102
Open in Google Maps ↗

Other Identifiers 1

Medicaid82743NM

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Stephen A. Wagner Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2013 through April 1, 2027.

Opt-Out Effective DateApril 1, 2013
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHRISTOPHER PATRICK SANGER I L.P.C.C.
Counselor (Professional)
801 ENCINO PL NE, SUITE C-14
ALBUQUERQUE, NM 87102
Bernalillo County (505) 453-2683
CAROL ANNE MADDEN CFNP
Family Medicine
801 ENCINO PL NE, STE A-6
ALBUQUERQUE, NM 87102
Bernalillo County (505) 224-7400
MS. BARBARA MUESSER THORPE CNP
Nurse Practitioner (Women's Health)
801 ENCINO PL NE, SUITE D5
ALBUQUERQUE, NM 87102
Bernalillo County (505) 242-5353
CURTIS WAYNE BOYD M.D.
Family Medicine
801 ENCINO PL NE, SUITE C2
ALBUQUERQUE, NM 87102
Bernalillo County (505) 242-7512
RICHARD E HORN DDS
Dentist (General Practice)
801 ENCINO PL NE, D-1
ALBUQUERQUE, NM 87102
Bernalillo County (505) 242-9781
MS. MARTHA C MCCARTHY CNP
Registered Nurse (Women's Health Care, Ambulatory)
801 ENCINO PL NE, SUITE C2
ALBUQUERQUE, NM 87102
Bernalillo County (505) 242-7512
LINDA LORENE GARCIA MD
Family Medicine
801 ENCINO PL NE, BUILDING C SUITE 1
ALBUQUERQUE, NM 87102
Bernalillo County (505) 272-0110
CARLA J KASHE P.T.
Physical Therapy Assistant
801 ENCINO PL NE, SUITE E-12
ALBUQUERQUE, NM 87102
Bernalillo County (615) 778-4066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Wagner's NPI number?

The NPI number for Stephen Wagner is 1336131267. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Stephen Wagner located?

Stephen Wagner practices at 801 Encino Pl NE Suite A-3, Albuquerque, NM 87102. The listed phone number is (505) 232-3588.

What is Stephen Wagner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Stephen Wagner enrolled in Medicare?

No. Stephen Wagner has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Stephen Wagner was last updated on April 30, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.