DR. GEORGE W WAGNER JR. D.C
NPI 1770649766
Chiropractor in Petaluma, CA

Active since December 28, 2006
1330 COMMERCE ST, SUITE B, PETALUMA, CA 94954(707) 773-2273(707) 773-1734 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. George W Wagner Jr. D.c NPPES

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

DR. GEORGE W WAGNER JR. D.C (NPI 1770649766) is an individual chiropractor in Petaluma, California, licensed in California (DC27302) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1770649766
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. GEORGE W WAGNER JR.Credential: D.C
Location Address1330 COMMERCE ST, SUITE BPetaluma, CA 94954-1496
Mailing Address1330 Commerce St., Suite BPetaluma, CA 94954 · (707) 773-2273 · Fax (707) 773-1734
Fax(707) 773-1734
Sole ProprietorYes
Enumeration DateDecember 28, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1770649766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in CA · DC27302
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.
1330 COMMERCE ST, Petaluma, CA 94954

Other Identifiers 2

Medicare UPINU82839CA
Medicare ID-Type UnspecifiedDC0273020CA

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 George Wagner's NPI number?

The NPI number for George Wagner is 1770649766. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is George Wagner located?

George Wagner practices at 1330 Commerce St Suite B, Petaluma, CA 94954. The listed phone number is (707) 773-2273.

What is George Wagner's specialty?

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

When was this NPI record last updated?

The NPPES record for George 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.