DR. DAVID J WAGNER (NPI# 1639466865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639466865 |
Entity Type | Individual |
Full Name | DR. DAVID J WAGNER |
Credential | D.D.S. |
Practice Address |
2730 Wilshire Blvd Ste 201 Santa Monica CA 90403-4744 |
Practice Telephone | 3108281513 |
Mailing Telephone | 3108281513 |
Enumeration Date | 2011-07-08 |
Last Update Date | 2011-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
60468 | CA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538236757 | David Michael Wagner | Counselor | 8335 40th Ave N, St Petersburg, FL 33709-3934 | 2006-11-30 |
1912079823 | David A Wagner Sr. | Dentist | 43 East Mills Street, Columbus, NC 28722 | 2006-11-15 |
1205917523 | David Wagner | Dentist | 1919 N Pearl St Ste A3, Tacoma, WA 98406-2456 | 2006-10-17 |
1255444345 | David Robert Wagner | Chiropractor | 3107 W Slaughter Ln, Austin, TX 78748-5574 | 2006-08-16 |
1265448328 | David C Wagner | Physical Therapist | 3105 Main St, Marlette, MI 48453-1508 | 2006-07-31 |
1821012105 | David Wagner | Internal Medicine | 135 East 37th St, New York, NY 10016 | 2006-07-27 |
1295754778 | David A Wagner | Optometrist | 3285 State Route 257, Seneca, PA 16346-2529 | 2006-07-18 |
1508847997 | David Scott Wagner | Chiropractor | 31285 Temecula Pkwy Ste 260, Temecula, CA 92592-6830 | 2005-11-11 |
1821085168 | David Edwin Wagner | Dentist | 5992 Howdershell Rd, Ste 206, Hazelwood, MO 63042-4107 | 2005-10-03 |
1326046897 | David Gordon Wagner | Specialist | 14955 Shady Grove Rd, Suite 125, Rockville, MD 20850-8700 | 2005-07-08 |
Street Address |
2730 WILSHIRE BLVD STE 201 |
City | SANTA MONICA |
State | CA |
Zip Code | 90403-4744 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134431513 | Benjamin Freed | Dentist | 2730 Wilshire Blvd Ste 201, Santa Monica, CA 90403-4744 | 2010-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427520972 | Isobel Gardner | Marriage & Family Therapist | 2730 Wilshire Boulevard #650, Santa Monica, CA 90403 | 2018-12-21 |
1477030369 | Jennifer Garcia | Dentist | 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 | 2018-07-23 |
1215435847 | The Balance Lab Physical Therapy and Fitness | Physical Therapist | 2924 Wilshire Blvd, Santa Monica, CA 90403 | 2018-01-29 |
1306354634 | Sea Change Santa Monica, Lp | Clinic/Center | 1051 Princeton St, Santa Monica, CA 90403 | 2018-01-22 |
1114446226 | Jafary Foot & Ankle Specialists LLC | Podiatrist | 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403 | 2017-09-11 |
1023553906 | Jory Faermark | Speech-Language Pathologist | 1158 26th Street, #417, Santa Monica, CA 90403 | 2016-12-30 |
1376095042 | William Michael Thornton | Chiropractor | 2118 Wilshire Blvd, #577, Santa Monica, CA 90403 | 2016-10-28 |
1801251723 | Lisa Lavoie | Naturopath | 1-935 Euclid St, Santa Monica, CA 90403 | 2015-12-18 |
1376915793 | Lisa Hanes | Marriage & Family Therapist | 1150 Yale Street, Suite 2, Santa Monica, CA 90403 | 2015-10-25 |
1386015386 | Natalie Kazarian | Marriage & Family Therapist | 2116 Wilshire Blvd Ste 241, Santa Monica, CA 90403 | 2015-10-15 |
Find all providers in zip 90403 |
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 |
---|---|---|---|---|
1013524800 | Shantel Noghrey Ramin | Dentist | 2903 Delaware Ave, Santa Monica, CA 90404-5014 | 2020-09-25 |
1255993069 | Omeed Mahboobian | Dentist | 829 26th St, Santa Monica, CA 90403-2201 | 2019-07-01 |
1477030369 | Jennifer Garcia | Dentist | 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 | 2018-07-23 |
1265815369 | Kevin Lee | Dentist | 1821 Wilshire Blvd Ste 646, Santa Monica, CA 90403-5674 | 2015-07-07 |
1700159829 | Gary Warburton | Dentist | 519 Arizona Ave., Santa Monica, CA 90401 | 2012-02-21 |
1922309574 | Adrienne Vera Hecht | Dentist | 1317 26th St Apt 2, Santa Monica, CA 90404-2020 | 2010-11-13 |
1316253016 | William Chin | Dentist | 1253 7th St, Suite 200, Santa Monica, CA 90401-1617 | 2010-08-19 |
1134431513 | Benjamin Freed | Dentist | 2730 Wilshire Blvd Ste 201, Santa Monica, CA 90403-4744 | 2010-07-13 |
1275782641 | Elliot Paul Schlang Dds Professional Corporation | Dentist | 240 18th St, Santa Monica, CA 90402-2404 | 2008-09-10 |
1932355385 | David Youssefi | Dentist | 2428 Santa Monica Blvd Ste 403, Santa Monica, CA 90404-2047 | 2008-08-15 |
Find all providers in SANTA MONICA |
City | SANTA MONICA |
Zip Code | 90403 |
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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.