DR. JEFFREY LYNN WAGNON D.C.
NPI 1366591356
Chiropractor in Mansfield, TX

Active since January 09, 2007
309 REGENCY PKWY STE 205, MANSFIELD, TX 76063(817) 453-0430(817) 453-0400 Get Directions Write a Review

NPPES record last updated: January 2, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Jeffrey Lynn Wagnon D.c. NPPES

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

DR. JEFFREY LYNN WAGNON D.C. (NPI 1366591356) is an individual chiropractor in Mansfield, Texas, licensed in Texas (9382) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1366591356
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JEFFREY LYNN WAGNONCredential: D.C.
Location Address309 REGENCY PKWY STE 205Mansfield, TX 76063-7305
Mailing Address309 Regency Pkwy Ste 205Mansfield, TX 76063-7305 · (817) 453-0430 · Fax (817) 453-0400
Fax(817) 453-0400
Sole ProprietorNo
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJanuary 2, 2013
NPI 1366591356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in TX · 9382
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.
309 REGENCY PKWY STE 205, Mansfield, TX 76063

Other Identifiers 4

Medicare UPINV04338TX
Medicare PIN259840YLCBTX
Medicare ID-Type Unspecified8D4309TX · Medicare Id Number
Other8R1160TX · Blue Cross Blue Shield #

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Acute Care)
309 REGENCY PKWY STE 205
MANSFIELD, TX 76063
Internal Medicine (Cardiovascular Disease)
309 REGENCY PKWY STE 205
MANSFIELD, TX 76063
Internal Medicine (Cardiovascular Disease)
309 REGENCY PKWY STE 205
MANSFIELD, TX 76063
Nurse Practitioner (Primary Care)
309 REGENCY PKWY STE 205
MANSFIELD, TX 76063

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 Jeffrey Wagnon's NPI number?

The NPI number for Jeffrey Wagnon is 1366591356. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Jeffrey Wagnon located?

Jeffrey Wagnon practices at 309 Regency Pkwy Ste 205, Mansfield, TX 76063. The listed phone number is (817) 453-0430.

What is Jeffrey Wagnon'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 Jeffrey Wagnon was last updated on January 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.