DR. BRIAN WAGONER (NPI# 1831251313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831251313 |
| Entity Type | Individual |
| Full Name | DR. BRIAN WAGONER |
| Practice Address |
17 S Division St Flora IN 46929-1335 |
| Practice Telephone | 5749674434 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12009376 | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609165752 | Brian Lee Wagoner | Pharmacist | 1605 Mark Wood St, Midwest City, OK 73130-8454 | 2011-03-29 |
| 1235213976 | Brian K Wagoner | Chiropractor | 25139 Ella St, Perrysburg, OH 43551-9684 | 2006-10-25 |
| 1306083480 | Brian George Wagoner | Nurse Practitioner | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2009-01-12 |
| Street Address |
17 S DIVISION ST |
| City | FLORA |
| State | IN |
| Zip Code | 46929-1335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932318995 | Drs. Wagoner & Wagoner, PC | Dentist | 17 S Division St, Flora, IN 46929-1335 | 2007-05-22 |
| 1659438885 | Gordon D Wagoner | Dentist | 17 S Division St, Flora, IN 46929-1335 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235504739 | Taylor Reef | Contractor | 215 North Sycamore St, Flora, IN 46929 | 2015-12-09 |
| 1003885930 | Alvan L Eller | Family Medicine | 203 N Division St, Flora, IN 46929-1024 | 2006-03-14 |
| 1922666106 | Lydia Anne Capps | Nurse Practitioner | 203 N Division St, Flora, IN 46929-1024 | 2019-06-03 |
| 1447624960 | Unity Healthcare, LLC | Family Medicine | 203 N Division St, Flora, IN 46929-1024 | 2015-11-20 |
| 1356405484 | Arnett Clinic, LLC | Durable Medical Equipment & Medical Supplies | 203 N Division St, Flora, IN 46929-1024 | 2006-12-21 |
| 1639192438 | Warren N Root | Emergency Medicine | 203 N Division St, Flora, IN 46929-1024 | 2006-07-25 |
| 1730157835 | Jordan Lee Dutter | Family Medicine | 203 N Division St, Flora, IN 46929-1024 | 2006-03-14 |
| 1245342187 | Paynes Prescription Pharmacy Inc | Pharmacy | 53 S Center St, Flora, IN 46929-1315 | 2006-08-31 |
| 1285099705 | Alyssa Welte | Dietitian, Registered | 4 E Main St, Flora, IN 46929-1351 | 2015-12-29 |
| 1629499330 | Flora Family Medicine, LLC | Family Medicine | 4 E Main St, Flora, IN 46929-1351 | 2013-12-23 |
| Find all providers in zip 46929 | ||||
| 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 |
|---|---|---|---|---|
| 1992914907 | Jerry W Eckart | Dentist | 1860 E Oak St, Flora, IN 46929-1446 | 2007-05-22 |
| 1689897555 | Steven Lawrence Herr | Dentist | 607 W Columbia St, Flora, IN 46929-9212 | 2007-04-10 |
| 1043365968 | Martin Dental Associates PC | Dentist | 501 North Main Street, Flora, IL 62839 | 2007-01-23 |
| 1235286493 | J Calvin Wilson | Dentist | 317 E North Ave, Flora, IL 62839-2040 | 2007-01-03 |
| 1962579581 | Harry W Jones | Dentist | 905 E Columbia St, Flora, IN 46929-1414 | 2006-11-29 |
| 1215047717 | Clinton Harlan Whittington II | Dentist | 4856 Main St, Flora, MS 39071-1701 | 2006-08-30 |
| 1770696486 | The Denture Place, Inc. | Dentist | 5 Excutive Dr, Flora, IN 47905 | 2006-08-16 |
| 1528042801 | Brad Anthony Franklin | Dentist | 106 Central Blvd, Flora, MS 39071-8003 | 2005-12-01 |
| 1215922018 | Stephen W. Barber | Dentist | 232 E 2nd St, Flora, IL 62839-2003 | 2005-09-18 |
| 1144696410 | Hari Priya Anne | Dentist | 501 N Main St, Flora, IL 62839-1405 | 2015-08-20 |
| Find all providers in FLORA | ||||
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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.