Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508358953 Individual Practitioner Male Practitioner

Dr. Travis Wayne Wagner , DMD

Dentist - General Practice • Beckley, WV

Professional Overview & Biography Verified Profile Summary

Dr. Travis Wagner, DMD is a registered healthcare professional specializing in Dentist - General Practice in Beckley, WV. Practice services are available at 200 VETERANS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200 Veterans Ave

Beckley, WV 258016444

Telephone 3042552121
Associated Practice Facility / Clinic
🏢 Beckley Vamc Facility NPI 1750330858

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Beckley, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 5.5 Yrs
Regional Practice Density
21 Specialists

Practicing in Beckley, WV (580 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

CMS Verified: 2022-08-19
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WV 4340

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License PA DS042611

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MD 17003

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Susan Weirich , CTRS

Recreation Therapist

NPI 1003691080
Allison Venable , OTR, L

Occupational Therapist

NPI 1003865668

Occupational Therapist Registered, L

Cheryl Walters , LICSW

Social Worker - Clinical

NPI 1013972504

Licensed Independent Clinical Social Worker

Dr. Deborah Coleman , PsyD

Psychologist - Clinical

NPI 1033440656

Doctor of Psychology (Psy.D.)

Charity Green , MSW

Social Worker

NPI 1033517552

Master of Social Work

Portia Parker , MSW, LICSW

Social Worker - Clinical

NPI 1043266372

Master of Social Work, Licensed Independent Clinical Social Worker

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location August 19, 2022

Registered at 200 VETERANS AVE, BECKLEY, WV 258016444 (Tel: 3042552121)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2022

Dentist (License #DS042611 in PA)

📍
Updated Business Mailing Address August 24, 2021

Registered at 200 VETERANS AVE, BECKLEY, WV 258016444 (Tel: 3042552121)

👤
Provider Name / Credentials Updated August 24, 2021

Recorded as TRAVIS WAGNER, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2021

Dentist (License #4340 in WV)

NPI Profile Active June 01, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 01, 2018

Registered at 1616 13TH AVE STE 200, HUNTINGTON, WV 257013840 (Tel: 3046916973)

📍
Updated Business Mailing Address June 01, 2018

Registered at 1616 13TH AVE STE 200, HUNTINGTON, WV 257013840 (Tel: 3046916973)

👤
Provider Name / Credentials Updated June 01, 2018

Recorded as TRAVIS WAGNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 01, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508358953
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2018
Last Update: August 19, 2022
Sole Proprietor: No

Mailing Address

200 Veterans Ave

Beckley, WV 258016444

Phone: 3042552121

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.