Michael Lee Wall II, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034640 Issued in WA

Practice address

13412 Pacific Ave S
Tacoma, WA 98444-4866

Phone

(253) 531-5242

Fax

(253) 537-7293

NPI assigned

May 22, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Networks

• devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
• WA PPO C-SNP

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1053520593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8518 211TH AVE E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918498",
            "telephone_number": "253-495-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13412 PACIFIC AVE S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984444866",
            "telephone_number": "253-531-5242",
            "fax_number": "253-537-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Walker, RDH
• Shona Rose Walker
• Simoneice A Walker
• Tierra Walker
• Edward I Walkley, MD
• Michelle Wall
• Alecia Dawn Wallace, RDH
• Jeanette Wallace, RPH
• Paul Wayne Wallace, PHARMD
• Renee Elizabeth Wallace

• Chiropractor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.