Aaron Lee Wall, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10734 Issued in TX

Practice address

3250 Hulen St
Suite 140
Fort Worth, TX 76107-8100

Phone

(817) 773-5953

NPI assigned

Oct 10, 2007

Sex

Male

Sole proprietor

Yes

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 TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Gateway Chiropractic LLC

  • Point of Service
  • Fort Worth, TX
  • NPI 1679879779
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1013105550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 HULEN ST",
            "address_2": "SUITE 140",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761078100",
            "telephone_number": "817-886-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 HULEN ST",
            "address_2": "SUITE 140",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761078100",
            "telephone_number": "817-773-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "AARON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Lynn Walker
• Roberta A Walker, S.L.P.
• Tenille Walker, RBT
• Thomas Lawrence Walker, DO
• Torrance Anthony Walker, M.D.
• Keaton Wall
• Krista Wall, SLP
• Allan M Wallace, O.D.
• Angela Webb Wallace, OTR
• Ashley Lynette Wallace, MSN, APRN, FNP-C,

• Chiropractor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.