DR. WALLACE J WAGNER
NPI 1275507089
Chiropractor in Sioux City, IA

Q: What is Wallace Wagner's NPI number?

The NPI number for Wallace Wagner is 1275507089. It was assigned to this individual provider in the NPPES registry on February 16, 2006.

Q: What is Wallace Wagner's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Wallace Wagner was last updated on December 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 16, 2006

1723 GRANDVIEW BLVD, SIOUX CITY, IA 51105(712) 258-1021 Get Directions Write a Review

NPPES record last updated: December 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Wallace J Wagner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WALLACE J WAGNER (NPI 1275507089) is an individual chiropractor in Sioux City, Iowa, licensed in Iowa (04516) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1275507089

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. WALLACE J WAGNER

Location Address1723 GRANDVIEW BLVDSioux City, IA 51105-1116

Mailing Address1723 Grandview BlvdSioux City, IA 51105-1116 · (712) 258-1021

Phone(712) 258-1021

Sole ProprietorYes

Enumeration DateFebruary 16, 2006

Last NPPES UpdateDecember 18, 2013

✔ NPI 1275507089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in IA · 04516

Definition

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.

1723 GRANDVIEW BLVD, Sioux City, IA 51105

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Other Identifiers 1

Medicare ID-Type UnspecifiedI14246IA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WAGNER CHIROPRACTIC

Chiropractor

1723 GRANDVIEW BLVD
SIOUX CITY, IA 51105

Woodbury County (712) 258-1021

WAGNER CHIROPRACTIC P.C.

Chiropractor

1723 GRANDVIEW BLVD
SIOUX CITY, IA 51105

Woodbury County (712) 258-1021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wallace Wagner's NPI number?

The NPI number for Wallace Wagner is 1275507089. It was assigned to this individual provider in the NPPES registry on February 16, 2006.

Where is Wallace Wagner located?

Wallace Wagner practices at 1723 Grandview Blvd, Sioux City, IA 51105. The listed phone number is (712) 258-1021.

What is Wallace Wagner's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Wallace Wagner was last updated on December 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.