What is Jonathon Wagner's NPI number?

Jonathon Wagner's National Provider Identifier (NPI) is 1063505477, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jonathon Wagner's specialty?

Jonathon Wagner is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Jonathon Wagner located?

Jonathon Wagner's practice location on file with NPPES is 1017 Mission Street, Santa Cruz, CA 95060.

What is Jonathon Wagner's phone number?

The practice phone number listed in the NPPES registry for Jonathon Wagner is (831) 426-3535.

Is Jonathon Wagner's NPI active?

Yes — Jonathon Wagner's NPI (1063505477) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Jonathon Wagner, DDS

NPI 1063505477 · General Practice Dentistry · Santa Cruz, CA

Jonathon Wagner, DDS is a General Practice Dentistry provider in Santa Cruz, CA (NPI 1063505477).

Provider details

NPI number: 1063505477
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: 50395 (CA)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 50395 (CA)
Dental Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1017 Mission Street

Santa Cruz, CA 95060

Phone: (831) 426-3535

Fax: (831) 454-0330

Street-level locationGet directions

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Mailing address