Wagoner Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WAGONER CHIROPRACTIC INC

Practice address

454 Rolling Ridge Dr
Suite 4
State College, PA 16801-7696

Phone

(814) 954-4182

NPI assigned

May 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Kayla Ellen Wagoner, D.C.

Title

Owner/Secretary

Phone

(814) 954-4182

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1700265295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 ROLLING RIDGE DR",
            "address_2": "SUITE 4",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017696",
            "telephone_number": "814-954-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 ROLLING RIDGE DR",
            "address_2": "SUITE 4",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017696",
            "telephone_number": "814-954-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGONER CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "WAGONER",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER/SECRETARY",
        "authorized_official_telephone_number": "814-954-4182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha R. Volkers, M.S.
• Wilbur Lewis Wadlington, PH.D.
• Allison Wagner
• Ashley E Wagner, CRNP
• Matthew F. Wagner, LPC
• Jay Frederick Wagoner, D.C.
• Kayla Ellen Wagoner, D.C.
• Caryl L. Waite, PA-C
• Megan Waite, DNP, FNP-C
• Wal-Mart Stores East , LP

• Chiropractor in State College, PA
• Providers in State College, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.