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JOSHUA WAGNER
NPI 1336019447
Chiropractor in Raleigh, NC

Active since November 05, 2025
6021 POYNER VILLAGE PKWY STE 109, RALEIGH, NC 27616(412) 414-9405(919) 882-1761 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Joshua Wagner NPPES

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

JOSHUA WAGNER (NPI 1336019447) is an individual chiropractor in Raleigh, North Carolina, licensed in North Carolina (5975) and active in the NPI registry since November 2025. He is a graduate of Palmer College Chiropractic - Davenport (2025).

NPPES Registry Identity

NPI1336019447
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJOSHUA WAGNER
Location Address6021 POYNER VILLAGE PKWY STE 109Raleigh, NC 27616-3398
Mailing Address6021 Poyner Village Pkwy Ste 109Raleigh, NC 27616-3398
Phone(412) 414-9405
Fax(919) 882-1761
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2025
Enumeration DateNovember 5, 2025
NPPES CertifiedNovember 5, 2025
✔ NPI 1336019447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NC · 5975
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.
6021 POYNER VILLAGE PKWY STE 109, Raleigh, NC 27616
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joshua Wagner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446745319
PECOS Enrollment IDI20251218000155

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.

PROSPER CHIROPRACTIC PLLC
Chiropractor
6021 POYNER VILLAGE PKWY STE 109
RALEIGH, NC 27616
Wake County (412) 414-9405
DR. BRENNAN EDWARD ROBERTS D.C.
Chiropractor
6021 POYNER VILLAGE PKWY STE 109
RALEIGH, NC 27616
Wake County (412) 414-9405

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 Joshua Wagner's NPI number?

The NPI number for Joshua Wagner is 1336019447. It was assigned to this individual provider in the NPPES registry on November 5, 2025.

Where is Joshua Wagner located?

Joshua Wagner practices at 6021 Poyner Village Pkwy Ste 109, Raleigh, NC 27616. The listed phone number is (412) 414-9405.

What is Joshua Wagner's specialty?

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

Is Joshua Wagner enrolled in Medicare?

Yes. Joshua Wagner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joshua Wagner was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.