Joshua Wagner

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5975 Issued in NC

Practice address

6021 Poyner Village Pkwy Ste 109
Raleigh, NC 27616-3398

Phone

(412) 414-9405

Fax

(919) 882-1761

NPI assigned

Nov 5, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2025

Medicare assignment

May accept Medicare assignment

Group practices

Prosper Chiropractic PLLCGroup PAC ID 2365872264, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prosper Chiropractic PLLC

  • Chiropractor
  • Raleigh, NC
  • NPI 1770111262
  Medicare reassignment Care Compare group NPD
• Best Chiropractic PLLC

  • Chiropractor
  • Lexington, NC
  • NPI 1982429783
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1336019447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 POYNER VILLAGE PKWY STE 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276163398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 POYNER VILLAGE PKWY STE 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276163398",
            "telephone_number": "412-414-9405",
            "fax_number": "919-882-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joey Gerald-Dean Wade
• Jordan Leigh Wade, PHD
• Navroop K Wade, LCSW
• Robert D Wadley, MD
• Emilyn White Wagner, DNP, FNP-C
• Kristine Marie Wagner, CRNA
• Kristyl Lee Wagner
• Patrick Wagner
• Sarah Wagner
• Scott David Wagner, MD

• Chiropractor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.