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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DANE JOSHUA WAGNER
NPI 1417866468
Physician Assistant in Bonney Lake, WA

Active since September 04, 2026
7723 LOCUST AVE E, BONNEY LAKE, WA 98391(253) 750-1867 Get Directions Write a Review

NPPES record added: September 4, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dane Joshua Wagner NPPES

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

DANE JOSHUA WAGNER (NPI 1417866468) is an individual physician assistant in Bonney Lake, Washington and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1417866468
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDANE JOSHUA WAGNER
Location Address7723 LOCUST AVE EBonney Lake, WA 98391-8549
Mailing Address7723 Locust Ave EBonney Lake, WA 98391-8549 · (253) 750-1867
Phone(253) 750-1867
Sole ProprietorYes
Enumeration DateSeptember 4, 2026
NPPES CertifiedSeptember 4, 2026
✔ NPI 1417866468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
7723 LOCUST AVE E, Bonney Lake, WA 98391
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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 Dane Wagner's NPI number?

The NPI number for Dane Wagner is 1417866468. It was assigned to this individual provider in the NPPES registry on September 4, 2026.

Where is Dane Wagner located?

Dane Wagner practices at 7723 Locust Ave E, Bonney Lake, WA 98391. The listed phone number is (253) 750-1867.

What is Dane Wagner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Dane Wagner was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.