SEAN B WAGNER D.C.
NPI 1487715363
Chiropractor in Thousand Oaks, CA

Q: What is Sean Wagner's NPI number?

The NPI number for Sean Wagner is 1487715363. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Q: What is Sean 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 Sean Wagner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 13, 2006Accepts Medicare Assignment

268 LOMBARD ST, THOUSAND OAKS, CA 91360(805) 495-8300(805) 379-1964 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sean B Wagner D.c. NPPES

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

SEAN B WAGNER D.C. (NPI 1487715363) is an individual chiropractor in Thousand Oaks, California, licensed in California (DC28027) and active in the NPI registry since December 2006. He is a graduate of Other (2001).

NPPES Registry Identity

NPI1487715363

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameSEAN B WAGNERCredential: D.C.

Location Address268 LOMBARD STThousand Oaks, CA 91360-8223

Mailing Address268 Lombard StThousand Oaks, CA 91360-8223 · (805) 495-8300 · Fax (805) 379-1964

Phone(805) 495-8300

Fax(805) 379-1964

Sole ProprietorYes

Medical School CMSOtherGraduated 2001

Enumeration DateDecember 13, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1487715363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · DC28027

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.

268 LOMBARD ST, Thousand Oaks, CA 91360

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Other Identifiers 1

Medicare ID-Type UnspecifiedDC28027CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sean B Wagner D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971795568

PECOS Enrollment IDI20101014000916

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.

958 services96 patients

Other Providers at the Same Location NPPES 11

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

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