DR. MICHAEL JOHN WAGNER (NPI# 1609903178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609903178 |
Entity Type | Individual |
Full Name | DR. MICHAEL JOHN WAGNER |
Credential | DMD |
Practice Address |
13515 Ne 175th St Ste G Woodinville WA 98072-8566 |
Practice Telephone | 4254832600 |
Practice Fax Number | 4254834080 |
Mailing Telephone | 4254832600 |
Mailing Fax Number | 4254834080 |
Enumeration Date | 2007-02-28 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DE00005880 | WA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700446267 | Michael Wagner | Dentist | 754 S Main St Ste 1, St George, UT 84770-5510 | 2019-06-17 |
1336655034 | Michael D Wagner | Custodial Care Facility | 807 Pine Ave Nw, Grand Rapids, MI 49504-4340 | 2017-12-18 |
1285169037 | Michael Wagner | Student in an Organized Health Care Education/Training Program | 4316 E Avalon Dr, #11, Phoenix, AZ 85018-7245 | 2017-04-28 |
1235585191 | Michael Charles Wagner | Occupational Therapist | 170 2nd St S, Nampa, ID 83651-3708 | 2016-05-10 |
1033555362 | Michael S Wagner | Marriage & Family Therapist | 3263 Sacramento St, Suite B, San Francisco, CA 94115-2054 | 2013-05-14 |
1013154293 | Michael James Wagner | Counselor | 10207 E Shady Rock Ln, Tucson, AZ 85749-8162 | 2009-01-09 |
1619159084 | Michael Paul Wagner | Chiropractor | 544e. North Ave, Glendale Heights, IL 60139 | 2007-11-28 |
1073655825 | Michael C Wagner II | Nurse Practitioner | 603 N Logan Ave, Danville, IL 61832-4320 | 2007-02-12 |
1760577340 | Michael Dale Wagner | Psychologist | 5415 Medallion Dr W, Westerville, OH 43082-9194 | 2006-10-03 |
1083719942 | Michael E Wagner | Chiropractor | 8553 Hickman Rd, Urbandale, IA 50322-4321 | 2006-09-14 |
Street Address |
13515 NE 175TH ST STE G |
City | WOODINVILLE |
State | WA |
Zip Code | 98072-8566 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003452202 | Daya Bhat Dds Ms Pllc | Clinic/Center | 13515 Ne 175th St Ste G, Woodinville, WA 98072-8566 | 2019-11-22 |
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 | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336398395 | Tori Nicole Matthys | Dentist | 13317 Ne 175th St Ste Aa, Woodinville, WA 98072-6815 | 2008-09-15 |
1851744478 | Michael J. Wagner | Dentist | 13515 Ne 175th St, Suite G, Woodinville, WA 98072-8566 | 2016-07-19 |
1902815137 | Majed Moawad | Dentist | 17000 140th Ave Ne, Suite 204, Woodinville, WA 98072-6928 | 2006-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114539301 | Jack Hou & Kortne Frederick Hou PC | Dentist | 22603 Ne Inglewood Hill Rd Ste 200, Sammamish, WA 98074-7105 | 2020-08-19 |
1629686175 | Paul S. Kahlon, Pllc | Dentist | 13209 44th Ave Se Ste 102, Mill Creek, WA 98012-8985 | 2020-07-21 |
1457975948 | Hurst and Shannon Pllc | Dentist | 400 Pine St Ste 2017, Seattle, WA 98101-3625 | 2020-06-01 |
1043840200 | Kjeld Aamodt PC | Dentist | 500 108th Ave Ne Ste 1710, Bellevue, WA 98004-5598 | 2020-01-16 |
1861040800 | Jack Hou & Kortne Frederick Hou PC | Dentist | 451 Duvall Ave Ne Ste 230, Renton, WA 98059-4675 | 2019-09-03 |
1972165942 | Claire Kuo Pllc | Dentist | 4300 Talbot Rd S Ste 401, Renton, WA 98055-6238 | 2019-06-30 |
1164089934 | Tri-city Orthodontics, LLC | Dentist | 3200 Duportail St, Ste 203, Richland, WA 99352 | 2019-05-28 |
1699331363 | Chet Jenkins PC | Dentist | Pioneer Specialty Services, 110 W Yakima Valley Hwy, Sunnyside, WA 98944-1352 | 2019-05-17 |
1578025946 | Samuel Finkleman | Dentist | 411 Strander Blvd Ste 104, Tukwila, WA 98188-2924 | 2019-04-03 |
1891250429 | Daniel Lee, Dds, and Christina Lee, Dds, Ms, Pllc | Dentist | 2911 2nd Ave, Suite 106, Seattle, WA 98121-3065 | 2019-02-07 |
Find all providers with the same taxonomy |
City | WOODINVILLE |
Zip Code | 98072 |
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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.