DR. RICHARD W WAGNER JR. (NPI# 1043470214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043470214 |
| Entity Type | Individual |
| Full Name | DR. RICHARD W WAGNER JR. |
| Credential | DMD |
| Practice Address |
123 W Franklin St Suite 201 Chapel Hill NC 27516-2524 |
| Practice Telephone | 9199679291 |
| Practice Fax Number | 9199424446 |
| Mailing Telephone | 9199679291 |
| Mailing Fax Number | 9199424446 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7701 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ADA | 098741004 | 01 | |
| NC | DEA | AW6093758 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528304334 | Richard Wagner | Counselor | 5132 Mimosa Drive, Bellaire, TX 77401 | 2012-12-26 |
| 1326359423 | Richard Ross Wagner | Pharmacist | 3282 Bethel Rd Se, Port Orchard, WA 98366-5603 | 2010-06-23 |
| 1871814624 | Richard Adam Wagner | Family Medicine | 295 County Hwy. 156, Johnstown, NY 12095-4123 | 2010-06-16 |
| 1134443559 | Richard Alan Wagner | Pharmacist | 23631 Dane Ct, Laguna Niguel, CA 92677-4618 | 2010-03-15 |
| 1962621631 | Richard Wagner | Specialist | 1789 Rebecca Lane, Coupeville, WA 98239-0339 | 2007-04-24 |
| 1770700957 | Richard M Wagner | Dentist | 1925 South Green Bay Rd, Racine, WI 53406-4654 | 2007-04-19 |
| 1619019676 | Richard Chisholm Wagner | Dentist | 1150 S King St Ste 303, Honolulu, HI 96814-1951 | 2007-02-13 |
| 1134236334 | Richard Laverne Wagner | Psychiatry & Neurology | 12 Benevolent St, Providence, RI 02906-1103 | 2006-08-24 |
| 1669488946 | Richard Wagner | Psychiatry & Neurology | 101 Lions Dr, Suite 119, Barrington, IL 60010-3181 | 2006-07-31 |
| 1194752683 | Richard Otto Wagner | Radiology | N116w17866 Blackstone Cir, Germantown, WI 53022-5665 | 2006-06-28 |
| Street Address |
123 W FRANKLIN ST SUITE 201 |
| City | CHAPEL HILL |
| State | NC |
| Zip Code | 27516-2524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417599309 | Brandon Ali Koroni | Dentist | 385 S Columbia St., Chapel Hill, NC 27516 | 2019-10-11 |
| 1225512718 | Brian Pietrosimone | Specialist/Technologist | University of North Carolina 209 Fetzer Hall, Chapel Hill, NC 27516 | 2018-09-20 |
| 1639691553 | Alexander S. Arab, Dba, Ims Evals, LLC | Physical Therapist | 103 Springhill Forest Place, Chapel Hill, NC 27516 | 2017-07-12 |
| 1730618000 | William E Sanders | Physical Therapist | 205 Weyer Dr., Chapel Hill, NC 27516 | 2017-06-08 |
| 1700336955 | Chatham Pediatric Dentistry | Dentist | 79 Falling Springs Dr., Suite 120, Chapel Hill, NC 27516 | 2016-10-12 |
| 1295152601 | Chun Xiang Li | Nurse Practitioner | 128 North Fields Circle, Chapel Hill, NC 27516 | 2014-03-24 |
| 1518211705 | Abigail Debra Zeveloff | Counselor | 1209b Hillsborough Rd, Chapel Hill, NC 27516 | 2012-11-09 |
| 1124315411 | Eric James Arehart | Pediatrics | 103 Crofton Springs Pl, Chapel Hill, NC 27516 | 2011-07-07 |
| 1336440312 | Amy Lynn Ford | Physician Assistant | 101 Manning Drive Cb #7160, Chapel Hill, NC 27516 | 2010-11-08 |
| 1689807224 | Natasha Leigh Blazer | Counselor | 110 New Stateside Dr, Chapel Hill, NC 27516 | 2009-08-31 |
| Find all providers in zip 27516 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073121398 | Teebok Choe | Dentist | 385 S Columbia St Periodontics Department, Chapel Hill, NC 27599-0001 | 2020-07-22 |
| 1447875505 | Liliana Rios | Dentist | 11312 Us 15 501 N Ste 107-139, Chapel Hill, NC 27517-6375 | 2020-06-14 |
| 1609436385 | Elnaz N/a Gharah Bash | Dentist | Unc Adams School of Dentistry, Dept of Periodontology 111 Brauer Hall, Chapel Hill, NC 27599 | 2019-06-16 |
| 1770065435 | Mauro Forgearini Nunes | Dentist | 439 Brauer Hall, Chapel Hill, NC 27599-7450 | 2018-08-29 |
| 1902394265 | Parkway Family Dentistry | Dentist | 79 Falling Springs Dr Ste 110, Chapel Hill, NC 27516-8493 | 2018-04-23 |
| 1013419795 | John Joseph Paterno II | Dentist | 53522 Bickett, Chapel Hill, NC 27517-8570 | 2018-03-08 |
| 1316454655 | Jessica L Bishop Dds Pa | Dentist | 6015 Farrington Rd Ste 102, Chapel Hill, NC 27517-8154 | 2018-01-09 |
| 1932628401 | Shaina Holman, D.d.s., Ph.d., P.a. | Dentist | 1836 Mlk Blvd, Chapel Hill, NC 27514-7415 | 2017-09-15 |
| 1811426406 | Ivette Landrian | Dentist | 3 Wellesley Pl, Chapel Hill, NC 27517 | 2017-06-07 |
| 1245786458 | Jones, Kofford, & Smith Dds II,pllc | Dentist | 1525 E Franklin St Suite 2, Chapel Hill, Nc 27514, Chapel Hill, NC 27514 | 2016-08-28 |
| Find all providers in CHAPEL HILL | ||||
| City | CHAPEL HILL |
| Zip Code | 27516 |
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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.