Wallace Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7558 Issued in AZ

Legal business name

WALLACE CHIROPRACTIC, PC

Doing business as

BodyWorkz

Practice address

6610 E Baseline Rd
Suite 103
Mesa, AZ 85206-4440

Phone

(480) 245-4995

NPI assigned

Feb 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Janeen L Wallace

Title

Owner/Physician

Phone

(480) 245-4995

Specialties & licenses 1

Addresses

Other names 1

• BodyWorkz Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janeen Sarhaddi, D.C.

  • Chiropractor
  • Mesa, AZ
  • NPI 1487651147
  Medicare reassignment NPD

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1053736439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 E BASELINE RD",
            "address_2": "SUITE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064440",
            "telephone_number": "480-245-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 E BASELINE RD",
            "address_2": "SUITE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064440",
            "telephone_number": "480-245-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLACE CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2022-08-31",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "JANEEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "480-245-4995",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyWorkz",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BodyWorkz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheri Dee Walker
• Stephen L. Walker, DDS, MS
• Timothy Ellis Walker, M.D.
• Brandon Wall
• Matthew Ryan Wall, D.D.S.
• Kristine Wallace, N.D.
• Peggy Ann Wallace, LPN
• Ryan Scott Wallin, DDS
• Harvey W Wallmann, PT, DSC
• Walmart Inc. (Walmart Pharmacy 10-5349)

• Chiropractor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.