Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Johnathan Livingston Wagner, BS, DC

Individual provider Orthopedic Chiropractor · NPI 1881628220

Dr. Johnathan Livingston Wagner, BS, DC is an Orthopedic Chiropractor in Daytona Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

542 N Ridgewood Ave
Daytona Beach, FL 32114-2170
Phone: (386) 258-7494
Fax: (386) 253-0365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Chiropractor (primary) Taxonomy 111NX0800X · Licence CH8731 (FL)

Record details

NPI number1881628220
Entity typeIndividual (Type 1)
GenderMale
Credentials BS , DC
Sole proprietorYes
NPI enumeratedJuly 10, 2006
Last updated in NPPESFebruary 15, 2008

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