JOHN S WAGNER D.C. - NPI 1346221041 - Chiropractor in Lafayette, IN

Q: What is John Wagner's NPI number?

The NPI number for John Wagner is 1346221041. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Q: What is John Wagner's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for John Wagner was last updated on January 2, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About John S Wagner D.c. NPPES

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

JOHN S WAGNER D.C. (NPI 1346221041) is an individual chiropractor in Lafayette, Indiana, licensed in Indiana (08000532A) and active in the NPI registry since November 2005. He is a graduate of Other (1976).

NPPES Registry Identity

NPI1346221041

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameJOHN S WAGNERCredential: D.C.

Location Address3778 UNION STLafayette, IN 47905-4453

Mailing Address3778 Union StLafayette, IN 47905-4453 · (765) 448-1674

Phone(765) 448-1674

Sole ProprietorNo

Medical School CMSOtherGraduated 1976

Enumeration DateNovember 9, 2005

Last NPPES UpdateJanuary 2, 2015

✔ NPI 1346221041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in IN · 08000532A

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

3778 UNION ST, Lafayette, IN 47905

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Other Identifiers 4

Medicaid100262580IN

Medicare PIN920610IN

Other000000197485IN · Blue Cross/blue Shield

Medicare PIN350039779IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John S Wagner D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860440393

PECOS Enrollment IDI20050111000486

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

156 services43 patients

Other Providers at the Same Location NPPES 6

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

DR. KEVIN WARREN BUTTERFIELD D.C.

Chiropractor