MR. DANIEL JAY WAGNER (NPI# 1528096492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528096492 |
| Entity Type | Individual |
| Full Name | MR. DANIEL JAY WAGNER |
| Credential | MD |
| Practice Address |
1303 Dr Martin L King Jr Ave Mobile AL 36603-5341 |
| Mailing Address |
Po Box 2048 Mobile AL 36652-2048 |
| Practice Telephone | 2514324112 |
| Practice Fax Number | 2519644012 |
| Mailing Telephone | 2514324117 |
| Mailing Fax Number | 2519644012 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | LNO3646 | AL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 6314000180 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790950798 | Daniel Ben Wagner | Psychologist | 14808 Physicians Ln, 111, Rockville, MD 20850-3942 | 2008-04-29 |
| 1700983582 | Daniel Jason Wagner | Emergency Medicine | 13526 Peseta Ct, Corpus Christi, TX 78418-6932 | 2006-09-20 |
| 1912957713 | Daniel M Wagner | Specialist/Technologist | 1200 W University Ave, Box 912, Mitchell, SD 57301-4358 | 2006-05-11 |
| 1922629583 | Daniel Wagner | Student in an Organized Health Care Education/Training Program | 376 W 10th Ave, Columbus, OH 43210-1280 | 2020-05-05 |
| 1164062741 | Daniel Jacob Wagner | Behavioral Analyst | 14724 Ventura Blvd Ste 1110, Sherman Oaks, CA 91403-3511 | 2020-01-10 |
| 1679119549 | Daniel Tadashi Wagner | Physical Therapist | 1401 S Beretania St Ste 550, Honolulu, HI 96814-1880 | 2019-11-26 |
| 1477084507 | Daniel Wagner | Student in an Organized Health Care Education/Training Program | 395 W 12th Ave, Columbus, OH 43210-1267 | 2017-03-21 |
| 1639327794 | Daniel Charles Wagner | Respiratory Therapist, Registered | 2501 W 22nd St, Respiratory Therapy, Sioux Falls, SD 57105-1305 | 2008-09-03 |
| 1942419452 | Daniel Lee Wagner | Internal Medicine | 1000 W 10th St, Rolla, MO 65401-2905 | 2007-05-21 |
| 1891880191 | Daniel Gray Wagner | Obstetrics & Gynecology | 224 S Woods Mill Rd, Suite 750, Chesterfield, MO 63017-3451 | 2006-10-03 |
| Street Address |
1303 DR MARTIN L KING JR AVE |
| City | MOBILE |
| State | AL |
| Zip Code | 36603-5341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679532303 | Franklin Primary Health Center, Inc. | Obstetrics & Gynecology | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603 | 2006-03-21 |
| 1871119040 | Faith Alce | Nurse Practitioner | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2020-06-23 |
| 1700401098 | Rashonda Jordan | Nurse Practitioner | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2020-06-11 |
| 1922623453 | Anna Katherine Leurck | Nurse Practitioner | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2020-06-10 |
| 1215412770 | Lawana D Kennedy | Social Worker | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2018-10-01 |
| 1952886491 | Raven J Lang | Social Worker | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2018-10-01 |
| 1043794480 | Franklin Primary Health Center, Inc. | Social Worker | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2018-09-21 |
| 1013491802 | Joycelyn Curtis | Social Worker | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2018-09-18 |
| 1013455641 | Bernadine Peters | Nutritionist | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2017-02-02 |
| 1124565494 | Kimberly Norris | Nurse Practitioner | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2017-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457813412 | Vanessa Gill | Home Health | 916 State St., Same As Above, Mobile, AL 36603 | 2019-04-01 |
| 1942784483 | Dale Deward Donnelly | Physical Therapy Assistant | 1361 Dr. Martin Luther King Jr. Ave., Mobile, AL 36603 | 2018-09-20 |
| 1760904338 | Elite Residential, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1554 Basil Street, Mobile, AL 36603 | 2017-07-14 |
| 1699195024 | Jamie Hennigan | Student in an Organized Health Care Education/Training Program | 162.5 N Bayou St, Upper B, Mobile, AL 36603 | 2014-04-24 |
| 1487747945 | Beverly A Wilson | Dentist | 1303 Dr. Martin L King Jr Ave, Mobile, AL 36603 | 2006-10-02 |
| 1871936641 | Leticia M Gibbs | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603 | 2013-04-11 |
| 1417913682 | Montubua Vasser-smith | Internal Medicine | 1303 Dr Martin Luther King Jr Ave, Mobile, AL 36603 | 2006-04-25 |
| 1003896358 | Angelia Deniese Lewis | Nurse Practitioner | 251 N Bayou St, Mobile, AL 36603 | 2006-01-20 |
| 1982846754 | Dales Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 880 Martin Luther King Ave, Suite E, Mobile, AL 36603-0000 | 2009-03-25 |
| 1619022928 | Ladas Pharmacy | Durable Medical Equipment & Medical Supplies | 1050 S Broad St, Mobile, AL 36603-1038 | 2007-01-24 |
| Find all providers in zip 36603 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811538754 | Affordable Dentures & Implants - Mobile, P.C. | Dentist | 4439 Rangeline Rd Ste A, Mobile, AL 36619-9551 | 2019-10-02 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1629563598 | Stephanie Berry Evans | Dentist | 7765 Airport Blvd Ste D200, Mobile, AL 36608-5038 | 2018-06-24 |
| 1346766979 | Saman Mostajabian | Dentist | 3281 Bel Air Mall Ste G18a, Mobile, AL 36606-3207 | 2017-08-15 |
| 1528581170 | Midtown Family Dental, P.C. | Dentist | 79 Midtown Park E, Mobile, AL 36606-4141 | 2017-07-25 |
| 1073033296 | Kelsey Nutt Peters | Dentist | 7760 Moffett Rd, Mobile, AL 36618-4136 | 2017-06-20 |
| 1437523347 | Sonya White D.d.s. PC | Dentist | 6309 Piccadilly Square Dr., Mobile, AL 36609 | 2015-11-17 |
| 1881093581 | Hubert H. Parker Iv, D.m.d PC | Dentist | 9985 Airport Blvd Ste B, Mobile, AL 36608-9525 | 2014-08-19 |
| 1679911606 | Jonathan S Smith | Dentist | 720 S Leeds Ave, Mobile, AL 36612-1946 | 2013-06-12 |
| 1033452826 | Robert David Crist | Dentist | 3750 Professional Pkwy, Mobile, AL 36609-5407 | 2013-04-01 |
| Find all providers in MOBILE | ||||
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| 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.