Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Evan Jonathon Wagoner, DC

Individual provider Chiropractor · NPI 1710507488

Dr. Evan Jonathon Wagoner, DC is a Chiropractic in Wake Forest, North Carolina. Graduated from Sherman College of Straight Chiropractic in 2020, 6 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Trained at
Sherman College of Straight Chiropractic
Licensed in
NC
In the registry since
2020
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1408 Woodland Hills Trl Apt 204
Wake Forest, NC 27587-1778
Phone: (260) 573-1249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5176 (NC)

Record details

NPI number1710507488
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedApril 22, 2020
Last updated in NPPESOctober 26, 2021
Certification dateOctober 26, 2021
Mailing address1408 Woodland Hills Trl, Apt 204, Wake Forest, NC 27587-1778

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolSHERMAN COLLEGE OF STRAIGHT CHIROPRACTIC
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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