Waller Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9828 Issued in TX

Legal business name

WALLER CHIROPRACTIC, INC.

Practice address

1121 Kinwest Pkwy
Irving, TX 75063-3135

Phone

(972) 550-6190

Fax

(972) 550-6013

NPI assigned

Jul 5, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Stephen B Waller, DCNPI 1891727269

Title

Owner

Phone

(972) 550-6190

Specialties & licenses 1

Addresses

Practitioners 1

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

• Stephen B Waller, D.C.

  • Chiropractor
  • Irving, TX
  • NPI 1891727269
  NPD (past) Authorized official

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1124315775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631907",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750630038",
            "telephone_number": "972-550-6190",
            "fax_number": "972-550-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 KINWEST PKWY",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633135",
            "telephone_number": "972-550-6190",
            "fax_number": "972-550-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLER CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-550-6190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Walker, MD
• James Justin Walker, ATC
• Leah Walker
• Matthew Lewis Walker, BCBA
• Sarah Kathryn Walker, LPC
• Stephen B Waller, D.C.
• Carley Waltenburg, M.S., BCBA
• Carla G Walters, MS, RD, LD, CDE
• Danielle Walters, M.S., BCBA
• Mary Colleen Walters, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.