DR. MICHAEL JOHN WAGNER


Address: 13515 Ne 175th St Ste G, Woodinville, WA 98072-8566
Phone: 4254832600

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
DE00005880 WA Dental Providers

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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

Office Location

Street Address 13515 NE 175TH ST STE G
City WOODINVILLE
State WA
Zip Code 98072-8566

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City WOODINVILLE
Zip Code 98072

Improve Information

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Dataset Information

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.

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