Darin Wade Wallace, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001985A Issued in IN

Practice address

1520 North Main Street
Rushville, IN 46173

Phone

(765) 932-5600

Fax

(765) 932-5530

NPI assigned

Jun 7, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Darin Wallace Chiropractic, Inc.

  • Chiropractor
  • Rushville, IN
  • NPI 1821371972
  Medicare reassignment NPD Authorized official
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1295775161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 N BENJAMIN ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731356",
            "telephone_number": "765-932-5600",
            "fax_number": "765-932-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 NORTH MAIN STREET",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "46173",
            "telephone_number": "765-932-5600",
            "fax_number": "765-932-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "DARIN",
        "middle_name": "WADE",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001985A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200369100A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Umbrella Family Waiver Services, LLC
• Maria Joann Vail, MSW, LCSW
• Vogel Family Dentistry, Inc.
• Jessica Vogel, DDS
• Pieter J Vreede, M.D.
• David E Wenning, PHARMD
• Makenzie Renea Werner, NP
• Ryan S White, M.D.
• Rebecca Wilcher
• John L. Wiles, D.D.S.

• Chiropractor in Rushville, IN
• Providers in Rushville, IN by specialty
• Chiropractor in Indiana

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