{"npi":"1982134482","type":"NPI-1","status":"active","name":{"display":"Dr. Christopher Wagner DO","other":[],"first":"CHRISTOPHER","last":"WAGNER","middle":"CHARLES","credential":"DO"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"MI","license":"5101025520"}]},"addresses":[{"purpose":"LOCATION","street_1":"71 BEVIER ST","city":"SHELBY","state":"MI","postal_code":"494551209","country_code":"US","phone":"2318612187","fax":"2318615100"},{"purpose":"MAILING","street_1":"PO BOX 1848","city":"MUSKEGON","state":"MI","postal_code":"494431848","country_code":"US","phone":"2316722119"}],"license":{"state":"MI","number":"5101025520"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1982134482","state":"MI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20200625000682","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"MI","pac_id":"7810267424"}]},"enumeration_date":"2017-06-16","last_updated":"2021-12-10","_meta":{"source":"NPPES","snapshot_date":"2021-12-10","doc_url":"https://findmynpi.com/api"}}