WAGGONER & WAGGONER DC LLC (NPI# 1407384084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407384084 |
| Entity Type | Organization |
| Organization Name | WAGGONER & WAGGONER DC LLC |
| Practice Address |
400 Union St Lagrange IN 46761 |
| Mailing Address |
400 Union St Lagrange IN 46761-2286 |
| Practice Telephone | 2604994911 |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2017-06-13 |
| Authorized Official Name | DR. CHASE DANIEL WAGGONER (PRESIDENT) |
| Authorized Official Telephone | 2604994911 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 08002862A | IN | Chiropractic Providers |
| Street Address |
400 UNION ST |
| City | LAGRANGE |
| State | IN |
| Zip Code | 46761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669844296 | Chase Daniel Waggoner | Chiropractor | 400 Union St, Lagrange, IN 46761-2286 | 2015-10-22 |
| 1013557743 | Doctor Footfixer, PC | Clinic/Center | 400 Union St, Lagrange, IN 46761-2286 | 2020-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962049007 | Darlene L. Schlotterback | Physical Therapist | 207 N. Townline Rd, Lagrange, IN 46761 | 2019-12-09 |
| 1083264006 | Kimberly A Hershberger | Pharmacist | 0975 N 00 Ew, Lagrange, IN 46761 | 2019-09-12 |
| 1134775554 | Kristy Jo Roth | Pharmacist | 0975n 00 Ew, Lagrange, IN 46761 | 2019-08-12 |
| 1235372277 | Lagrange Surgery Center, LLC | Clinic/Center | 2500 Ventura Way, Lagrange, IN 46761 | 2009-04-07 |
| 1568565265 | Hook Superx LLC | Pharmacy | 975n Ooew, Lagrange, IN 46761 | 2006-09-07 |
| 1558305326 | Craig L Nelson Dds Inc | Dentist | 405 Union Street, Lagrange, IN 46761 | 2006-06-15 |
| 1134184781 | Michael W Conway | Family Medicine | 207 N Townline Rd Ste 104, Lagrange, IN 46761 | 2006-04-18 |
| 1548220544 | Millard Reed Taylor | Family Medicine | 2120 N Detroit St, Lagrange, IN 46761 | 2006-03-24 |
| 1891791414 | Larry Best | Podiatrist | 400 1/2 Union Street, Lagrange, IN 46761 | 2005-06-28 |
| 1972140010 | Vickie L. Pletcher | Physical Therapy Assistant | 207 N. Townline Rd., Lagrange, IN 46761 | 2019-12-09 |
| Find all providers in zip 46761 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669844296 | Chase Daniel Waggoner | Chiropractor | 400 Union St, Lagrange, IN 46761-2286 | 2015-10-22 |
| 1740547447 | Total Healthcare of Lagrange, LLC | Chiropractor | 3452 Hogansville Rd, Suite B, Lagrange, GA 30241-8269 | 2012-04-19 |
| 1760798128 | Matthew Tyler Wolfertz | Chiropractor | 1697 Vernon Rd Ste A, Lagrange, GA 30240-4180 | 2010-08-24 |
| 1275844227 | Life Style Enhancement Centers | Chiropractor | 3206 W Point Rd, Lagrange, GA 30240-7545 | 2010-06-24 |
| 1447409610 | Brenton Coe Jones | Chiropractor | 110 Elm Dr, Lagrange, GA 30240-1606 | 2008-09-12 |
| 1164682993 | John Herbert Kent Jr. | Chiropractor | 1505 Lafayette Pkwy, Lagrange, GA 30241-2513 | 2008-06-16 |
| 1235303686 | Atlas Neck & Back Center | Chiropractor | 309 N. Morgan St., Suite A, Lagrange, GA 30241 | 2008-04-16 |
| 1902074495 | Healthy Living Chiropractic, LLC | Chiropractor | 299 Commerce Ave Ste B, Lagrange, GA 30241-2345 | 2008-02-19 |
| 1083807481 | Holistic Chiropractic, LLC | Chiropractor | 299 Commerce Ave, Lagrange, GA 30241-2345 | 2007-08-20 |
| 1225173057 | Sadiyq Taylor | Chiropractor | 1003 Hogansville Rd, Suite G, Lagrange, GA 30241-1459 | 2007-02-20 |
| Find all providers in LAGRANGE | ||||
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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.