WAGONER HOLDINGS PA
NPI 1679236400
Clinic/Center - Health Service in Wake Forest, NC

Q: What is Wagoner Holdings PA's NPI number?

The NPI number for Wagoner Holdings PA is 1679236400. It was assigned to this organization in the NPPES registry on October 19, 2021. The provider is doing business as Wake Forest Chiropractic.

Q: What is Wagoner Holdings PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Active since October 19, 2021

851 WAKE FOREST BUSINESS PARK STE E, WAKE FOREST, NC 27587(260) 573-1249 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Wagoner Holdings Pa NPPES

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

WAGONER HOLDINGS PA (NPI 1679236400), doing business as Wake Forest Chiropractic, is a healthcare organization registered as a health service in Wake Forest, North Carolina and active in the NPI registry since October 2021. The organization lists Evan Jonathon Wagoner, Owner, as its authorized official.

NPPES Registry Identity

NPI1679236400

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NameWAGONER HOLDINGS PA

Location Address851 WAKE FOREST BUSINESS PARK STE EWake Forest, NC 27587-7366

Mailing Address1408 Woodland Hills Trl Apt 204Wake Forest, NC 27587-1778 · (260) 573-1249

Phone(260) 573-1249

Organization SubpartNo

Authorized OfficialEvan Jonathon WagonerOwner · (260) 573-1249

Enumeration DateOctober 19, 2021

NPPES CertifiedOctober 19, 2021

✔ NPI 1679236400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

851 WAKE FOREST BUSINESS PARK STE E, Wake Forest, NC 27587

Open in Google Maps ↗

Other Names 1

Doing Business AsWake Forest Chiropractic

Other Identifiers 1

Other5176NC · Nc State Chiropractic License Number

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 Wagoner Holdings PA's NPI number?

The NPI number for Wagoner Holdings PA is 1679236400. It was assigned to this organization in the NPPES registry on October 19, 2021. The provider is doing business as Wake Forest Chiropractic.

Where is Wagoner Holdings PA located?

Wagoner Holdings PA is located at 851 Wake Forest Business Park Ste E, Wake Forest, NC 27587. The listed phone number is (260) 573-1249.

What is Wagoner Holdings PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Wagoner Holdings PA was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.