DR. EVAN JONATHON WAGONER DC NPI 1710507488

NPI Information

  • NPI: 1710507488
  • Provider Name: DR. EVAN JONATHON WAGONER, DC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 1408 WOODLAND HILLS TRL
    APT 204
    WAKE FOREST, NC
    ZIP 27587
  • Phone: (260) 573-1249

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NPI Details

DR. Evan Jonathon Wagoner, DC is a chiropractor in Wake Forest, NC with 6 years of experience. The provider is 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. DR. Evan Jonathon Wagoner, DC NPI is 1710507488. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SHERMAN COLLEGE OF STRAIGHT CHIROPRACTIC
Graduation Year:2020

The provider's business location address is:

1408 WOODLAND HILLS TRL
APT 204
WAKE FOREST, NC
ZIP 27587-778
Phone: (260) 573-1249

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chiropractic manipulative treatment, 3-4 spinal regions (HCPCS:98941)
  • Chiropractic manipulative treatment, 1-2 spinal regions (HCPCS:98940)

The enumeration date for this NPI number is 4/22/2020 and was last updated on 10/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor5176NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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