1. Home
  2. Directory
  3. Pennsylvania
  4. State College
  5. Chiropractor
  6. NPI Profile

JAY FREDERICK WAGONER D.C.
NPI 1952709693
Chiropractor in State College, PA

Active since December 11, 2014
454 ROLLING RIDGE DR, SUITE 4, STATE COLLEGE, PA 16801(814) 954-4182 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jay Frederick Wagoner D.c. NPPES

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

JAY FREDERICK WAGONER D.C. (NPI 1952709693) is an individual chiropractor in State College, Pennsylvania, licensed in Pennsylvania (DC010942) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1952709693
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJAY FREDERICK WAGONERCredential: D.C.
Location Address454 ROLLING RIDGE DR, SUITE 4State College, PA 16801-7696
Mailing Address454 Rolling Ridge Dr, Suite 4State College, PA 16801-7696 · (814) 954-4182
Phone(814) 954-4182
Sole ProprietorNo
Enumeration DateDecember 11, 2014
Last NPPES UpdateFebruary 28, 2017
✔ NPI 1952709693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in PA · DC010942
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.
454 ROLLING RIDGE DR, State College, PA 16801
Open in Google Maps ↗

Other Providers at the Same Location NPPES 8

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

DR. EMILY BROWN WERNER PH.D.
Psychologist (Clinical Child & Adolescent)
454 ROLLING RIDGE DR
STATE COLLEGE, PA 16801
Centre County (814) 235-1100
MIDSTEP CENTERS FOR CHILD DEVELOPMENT, PC
Psychologist
454 ROLLING RIDGE DR
STATE COLLEGE, PA 16801
Centre County (814) 235-1100
DR. H. PETER MONTMINY PH.D.
Psychologist (Clinical Child & Adolescent)
454 ROLLING RIDGE DR
STATE COLLEGE, PA 16801
Centre County (814) 235-1100
WAGONER CHIROPRACTIC INC
Chiropractor
454 ROLLING RIDGE DR, SUITE 4
STATE COLLEGE, PA 16801
Centre County (814) 954-4182
DR. KRISTEN ELIZABETH SMITH-SIMON PH.D.
Psychologist (Clinical)
454 ROLLING RIDGE DR
STATE COLLEGE, PA 16801
Centre County (814) 235-1100
DR. KAYLA ELLEN WAGONER D.C.
Chiropractor
454 ROLLING RIDGE DR, SUITE 4
STATE COLLEGE, PA 16801
Centre County (814) 954-4182
DR. CAROL LYNEE SKINNER PHD
Psychologist
454 ROLLING RIDGE DR
STATE COLLEGE, PA 16801
Centre County (814) 235-1100
JULIE A. PELLETIER, P.C.
Psychologist (Clinical Child & Adolescent)
454 ROLLING RIDGE DR
STATE COLLEGE, PA 16801
Centre County (814) 235-1100

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 Jay Wagoner's NPI number?

The NPI number for Jay Wagoner is 1952709693. It was assigned to this individual provider in the NPPES registry on December 11, 2014.

Where is Jay Wagoner located?

Jay Wagoner practices at 454 Rolling Ridge Dr Suite 4, State College, PA 16801. The listed phone number is (814) 954-4182.

What is Jay Wagoner'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 Jay Wagoner was last updated on February 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.