DR. STEPHEN A. WAGNER (NPI# 1336131267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336131267 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN A. WAGNER |
| Credential | DDS |
| Practice Address |
801 Encino Pl Ne Suite A-3 Albuquerque NM 87102-2612 |
| Practice Telephone | 5052323588 |
| Practice Fax Number | 5052323593 |
| Mailing Telephone | 5052323588 |
| Mailing Fax Number | 5052323593 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2014-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
1150 | NM | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 82743 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942533633 | Stephen C Wagner | Chiropractor | 5802 Se Powell Blvd, Portland, OR 97206-2826 | 2009-09-11 |
| 1154583805 | Stephen Faust Wagner | Medical Genetics | 714 S Birch Ave, Marshfield, WI 54449-3326 | 2008-06-25 |
| 1669432415 | Stephen W Wagner Jr. | Nurse Anesthetist, Certified Registered | 701 N Ist St, Springfield, IL 62781-0001 | 2006-03-24 |
| 1114396694 | Stephen Lee Wagner | Psychologist | 38720 Saltwell Rd, Lisbon, OH 44432-8303 | 2015-09-15 |
| 1578981585 | Stephen Wagner | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2014-04-07 |
| 1508112061 | Stephen David Wagner | Internal Medicine | 3214 E Race Ave, Searcy, AR 72143-4810 | 2012-08-01 |
| 1003044173 | Stephen Thomas Wagner | Dentist | 12137 Elm St, Princess Anne, MD 21853-1358 | 2009-06-29 |
| 1063524387 | Stephen R Wagner | Anesthesiology | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2006-08-31 |
| 1255443412 | Stephen P Wagner | Ophthalmology | 515 22nd Ave, Monroe, WI 53566-1569 | 2006-08-31 |
| 1790710077 | Stephen Charles Wagner | Psychologist | 321 E Main St, Suite 205, Bozeman, MT 59715 | 2006-07-12 |
| Street Address |
801 ENCINO PL NE SUITE A-3 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760481543 | Christopher Patrick Sanger I | Counselor | 801 Encino Pl Ne, Suite C-14, Albuquerque, NM 87102-2612 | 2005-07-14 |
| 1700428646 | Alexander Paz | Case Manager/Care Coordinator | 801 Encino Pl Ne, Albuquerque, NM 87102-2612 | 2019-10-11 |
| 1508408600 | Elvira Ashley Toca-cheng | Case Manager/Care Coordinator | 801 Encino Pl Ne, Albuquerque, NM 87102-2612 | 2019-10-10 |
| 1356992523 | Jaclyn Congleton | Case Manager/Care Coordinator | 801 Encino Pl Ne, Albuquerque, NM 87102-2612 | 2019-09-27 |
| 1881244390 | Marquita Adakai | Case Manager/Care Coordinator | 801 Encino Pl Ne, Albuquerque, NM 87102-2612 | 2019-09-17 |
| 1104476134 | Paul Gallegos | Case Manager/Care Coordinator | 801 Encino Pl Ne, Albuquerque, NM 87102-2612 | 2019-09-11 |
| 1528615598 | Pamela D Cook | Dietitian, Registered | 801 Encino Pl Ne, Albuquerque, NM 87102-2612 | 2019-08-23 |
| 1265087977 | Hazel Miranda | Case Manager/Care Coordinator | 801 Encino Pl Ne, Albuquerque, NM 87102-2612 | 2019-08-08 |
| 1275188112 | Renee Gurule-gutierrez | Case Manager/Care Coordinator | 801 Encino Pl Ne, Albuquerque, NM 87102-2612 | 2019-08-07 |
| 1104488659 | Vanessa G Jimenez | Case Manager/Care Coordinator | 801 Encino Pl Ne, Albuquerque, NM 87102-2612 | 2019-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144475518 | David A. Irvin | Dentist | 6830 Montgomery Blvd. Ne, Suite C, Albuquerque, NM 87109-1455 | 2008-11-26 |
| 1366447898 | Marc Bernard Appelbaum | Dentist | 1801 Camino De Salud Ne, Albuquerque, NM 87102-4516 | 2005-06-21 |
| 1730512245 | Diana N Ulrickson | Dentist | 801 Encino Pl Ne Ste A3, Albuquerque, NM 87102-2639 | 2013-08-20 |
| 1194013805 | Darren Carl Norby | Dentist | 8400 Osuna Rd Ne, Suite 1c, Albuquerque, NM 87111-2087 | 2011-07-14 |
| 1528392115 | Madelyn Lucille Fletcher-stark | Dentist | 8521 Golf Course Rd Nw Ste 116, Albuquerque, NM 87114-4549 | 2009-09-29 |
| 1982778387 | Phillip Allen Cook | Dentist | 8400 Osuna Rd Ne, Suite 1c, Albuquerque, NM 87111-2087 | 2006-11-17 |
| 1336250521 | David Ray Jimenez | Dentist | 9204 Menaul Blvd Ne, 3, Albuquerque, NM 87112-2256 | 2006-08-31 |
| 1831105865 | Arthur Burton Melton | Dentist | 7520 Montgomery Blvd Ne, Suite D-3, Albuquerque, NM 87109-1521 | 2006-07-31 |
| 1013934041 | Dai Chinh Phan | Dentist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588672752 | Ann L Ortega | Dentist | 1594 Sara Rd Se, Rio Rancho, NM 87124-1862 | 2006-08-04 |
| 1063478618 | Mitchell R. Wilkinson | Dentist | Po Box 187, Dulce, NM 87528-0187 | 2006-04-24 |
| 1841288669 | August Joseph Kaleta | Dentist | Us Highway 491 N, Shiprock, NM 87420 | 2005-10-06 |
| 1952810715 | Hendricks Dental Group, LLC | Dentist | 444 Saint Michaels Dr Ste B, Santa Fe, NM 87505-7674 | 2017-09-25 |
| 1659574176 | Marion Lawrence Larragoite | Dentist | 2904 Rodeo Park Dr E, Suite 400-b, Santa Fe, NM 87505-6305 | 2007-06-11 |
| City | ALBUQUERQUE |
| Zip Code | 87102 |
Please comment or provide details below to improve the information on DR. STEPHEN A. WAGNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.