Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275507089 Individual Practitioner Male Practitioner

Wallace J Wagner

Chiropractor • Sioux City, IA

Professional Overview & Biography Verified Profile Summary

Wallace Wagner is a registered healthcare professional specializing in Chiropractor in Sioux City, IA. Practice services are available at 1723 GRANDVIEW BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1723 Grandview Blvd

Sioux City, IA 511051116

Telephone 7122581021
Associated Practice Facility / Clinic
🏢 Wagner Chiropractic Facility NPI 1497729438

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Sioux City, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.9 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
48 Specialists

Practicing in Sioux City, IA (2109 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License IA 04516

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 18, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 18, 2013

Registered at 1723 GRANDVIEW BLVD, SIOUX CITY, IA 511051116 (Tel: 7122581021)

📍
Updated Business Mailing Address December 18, 2013

Registered at 1723 GRANDVIEW BLVD, SIOUX CITY, IA 511051116 (Tel: 7122581021)

👤
Provider Name / Credentials Updated December 18, 2013

Recorded as WALLACE WAGNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2013

Chiropractor (License #04516 in IA)

🟢
Initial NPI Registration & Enumeration February 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1275507089
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2006
Last Update: December 18, 2013
Sole Proprietor: Yes

Mailing Address

1723 Grandview Blvd

Sioux City, IA 511051116

Phone: 7122581021

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.