Joel M. Wagoner, DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4126 Issued in NC

Legal business name

JOEL M. WAGONER, DDS PA

Practice address

77 Vilcom Center Dr
Chapel Hill, NC 27514-1788

Phone

(919) 968-9697

NPI assigned

Jul 7, 2014

Last updated

Jul 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joel M Wagoner, DDSNPI 1982607826

Title

Owner

Phone

(919) 968-9697

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joel M Wagoner, DDS

  • General Practice Dentistry
  • Chapel Hill, NC
  • NPI 1982607826
  Authorized official Same address or phone

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1548676919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 VILCOM CENTER DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141788",
            "telephone_number": "919-968-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 VILCOM CENTER DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141788",
            "telephone_number": "919-968-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL M. WAGONER, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "WAGONER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-968-9697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8321",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Jimenez, MD
• Samiat Jinadu, M.D
• JMP Optometry, PLLC (Academy Eye Associates)
• Joel Jo
• Joan Murray Jobsis, PHD
• Leigh Ann Joel, CNM
• John Giusto, MD, PLLC
• Jennifer Leanne John, APRN FNP-C
• Andrea Johnson, MS
• Carol L Johnson, OTRL

• General Practice Dentistry in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.