David M. Waller, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8656 Issued in TX

Practice address

4210 Ridge Rd
Ste 102
Heath, TX 75032-6602

Phone

(972) 722-0054

Fax

(972) 722-0096

NPI assigned

Nov 1, 2006

Last updated

Jun 15, 2023By the provider in NPPES

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

Other names 1

• Mr. David Michael Waller Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Waller Family Health Systems LLCGroup PAC ID 3072656313, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Waller Family Health Systems LLC

  • Clinic/Center
  • Heath, TX
  • NPI 1861720849
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1023195781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 SKY HARLAR DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750870629",
            "telephone_number": "902-629-5087",
            "fax_number": "972-722-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 RIDGE RD",
            "address_2": "STE 102",
            "city": "HEATH",
            "state": "TX",
            "postal_code": "750326602",
            "telephone_number": "972-722-0054",
            "fax_number": "972-722-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLER",
        "first_name": "DAVID",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "WALLER",
            "middle_name": "MICHAEL",
            "prefix": "MR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• US Home Health Agency
• V. John Gonino D.O, P.a.
• Alyssa Renee Vargas, LPC
• Lesa Carol Walker, FNP, APRN
• Waller Family Health Systems LLC
• We Care Mobility
• John M Wiprud, M.D.
• Cheyenne Wood, OTR, OTD
• Evan-Marie Woodall, LPC
• Rachel Wooten

• Chiropractor in Heath, TX
• Providers in Heath, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.