KRAMER A.P. WAGNER, DDS, PLLC (NPI# 1538789730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538789730 |
| Entity Type | Organization |
| Organization Name | KRAMER A.P. WAGNER, DDS, PLLC |
| Practice Address |
12625 Ne 173rd Pl Woodinville WA 98072-7986 |
| Mailing Address |
16602 198th Ave Ne Woodinville WA 98077-5417 |
| Practice Telephone | 2069108653 |
| Mailing Telephone | 2069108653 |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |
| Authorized Official Name | DR. KRAMER ALEXANDER PANDOLFO WAGNER (DENTIST) |
| Authorized Official Telephone | 2069108653 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Wagner Family Dentistry | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | KRAMER A.P. WAGNER, DDS, PLLC | 16602 198th Ave Ne, Woodinville, WA 98077-5417 |
| Street Address |
12625 NE 173RD PL |
| City | WOODINVILLE |
| State | WA |
| Zip Code | 98072-7986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336161512 | Daniel J. Ryan | Dentist | 12625 Ne 173rd Pl, Woodinville, WA 98072-7986 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841832466 | Optum Infusion Services 501 Inc | Durable Medical Equipment & Medical Supplies | 8131 West Bostian Road, Suite A345, Woodinville, WA 98072 | 2019-10-15 |
| 1326511973 | Charyle Rae Tasanasanta | Massage Therapist | 17311 Ne 175th Ave, Building C, Suite 100, Woodinville, WA 98072 | 2019-01-07 |
| 1508360868 | Nitin Thapa | Naturopath | 14221 Ne 181st Pl Apt P203, Woodinville, WA 98072 | 2018-03-21 |
| 1588189963 | Sally Winkel | Occupational Therapist | 17311 135 Ave Ne, Suite C200, Woodinville, WA 98072 | 2017-08-07 |
| 1548783848 | Matt Clute | Chiropractor | 13110 Ne 177th Pl #1005, Woodinville, WA 98072 | 2017-07-19 |
| 1427506294 | Bobbi Arnold | Physical Therapy Assistant | 17918 Ne 157th Street, Woodinville, WA 98072 | 2016-09-21 |
| 1194175208 | Yu Yuan Zhang | Optometrist | 24008 Woodinville-snohomish Rd, Woodinville, WA 98072 | 2016-06-20 |
| 1093171357 | Anne Cahanin | Counselor | 17220 127th Pl Ne Ste 101, Woodinville, WA 98072 | 2016-01-01 |
| 1710365754 | Alexandra Castro | Pharmacist | 16427 Ne 145th St, Woodinville, WA 98072 | 2015-05-11 |
| 1649679911 | Susan Lewis | Nutritionist | 17924 140th Ave Ne Ste 230, Woodinville, WA 98072 | 2014-08-22 |
| Find all providers in zip 98072 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043763170 | Koczarski Aesthetic & Laser Dentistry | Clinic/Center | 17000 140th Ave Ne Unit 202, Woodinville, WA 98072-6928 | 2016-07-25 |
| 1043573603 | Stephen A. Rodgers, Dmd, Pllc | Clinic/Center | 13515 Ne 175th St Ste C, Woodinville, WA 98072-8566 | 2012-06-19 |
| 1003452202 | Daya Bhat Dds Ms Pllc | Clinic/Center | 13515 Ne 175th St Ste G, Woodinville, WA 98072-8566 | 2019-11-22 |
| 1174976476 | Jerald D. Bates, D.d.s., Pllc | Clinic/Center | 13515 Ne 175th St, Suite A, Woodinville, WA 98072-8566 | 2016-07-21 |
| 1730529447 | Youngjae Yoon Dmd Pllc | Clinic/Center | 17000 140th Ave Ne, #201, Woodinville, WA 98072-6928 | 2013-06-26 |
| 1548340086 | Wu & Dowd Pllc | Clinic/Center | 17530 132nd Ave Ne Ste H, Woodinville, WA 98072-8500 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700671 | K.lee, Dds, Pllc. | Clinic/Center | 20709 Mountain Hwy E # 102, Spanaway, WA 98387-8580 | 2020-11-06 |
| 1346841376 | Ralf F. Schuler, Dr. Med. Dent., Msd,pllc | Clinic/Center | 205 W Fairhaven Ave Ste C, Burlington, WA 98233-1062 | 2020-11-05 |
| 1356942684 | Healthy Smiles Northwest | Clinic/Center | 11808 18th St Se, Lake Stevens, WA 98258-2046 | 2020-11-03 |
| 1306446240 | Christine A Woodward, Dds, Pllc | Clinic/Center | 45860 Main St, Concrete, WA 98237 | 2020-10-29 |
| 1215535695 | Ellingsen Henneberg Pllc | Clinic/Center | 2607 S Southeast Blvd Ste B210, Spokane, WA 99223-7614 | 2020-10-16 |
| 1174121792 | Evolve Dental LLC | Clinic/Center | 4410 194th St Sw Ste A, Lynnwood, WA 98036-5598 | 2020-10-15 |
| 1326646035 | Natasha Habib Dds Ps | Clinic/Center | 1025 153rd St Se Ste 103, Mill Creek, WA 98012-4051 | 2020-10-14 |
| 1386241636 | Mellissa Ilgen, Dds, Pllc | Clinic/Center | 26114 Illinois Ave Ne, Kingston, WA 98346-7674 | 2020-10-08 |
| 1417554932 | Young, Yeung, Lee, Hockin, P.s | Clinic/Center | 2207 2nd Ave, Seattle, WA 98121-2016 | 2020-10-07 |
| 1164039731 | Consolidated Dental Three | Clinic/Center | 19221 108th Ave Se Ste 2, Renton, WA 98055-7369 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | WOODINVILLE |
| Zip Code | 98072 |
Please comment or provide details below to improve the information on KRAMER A.P. WAGNER, DDS, PLLC.
| 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.