Wesley W Wallis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

N/A Issued in OR

Practice address

13430 SW Saratoga LN
Beaverton, OR 97008-7602

Phone

(503) 250-0914

NPI assigned

Sep 23, 2011

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Chiropractic and Acupuncture LLC

  dba Align Acupuncture and Chiropractic

  • Chiropractor
  • Beaverton, OR
  • NPI 1457670515
  NPD (past)
• Deborah Thrall PT, LLC

  • Physical Therapy Clinic/Center
  • Beaverton, OR
  • NPI 1881040731
  NPD (past)

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1326321563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13430 SW SARATOGA LN",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087602",
            "telephone_number": "503-250-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13430 SW SARATOGA LN",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087602",
            "telephone_number": "503-250-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLIS",
        "first_name": "WESLEY",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walker Road Chiropractic PC
• Aidan Kyle Walker
• Scott R Walker, D.M.D.
• Sheila Jean Walker, LCSW
• Kristina Wallin, RPH
• Vincent Wallulatum
• Walmart Inc. (WalMart Pharmacy 10-5993)
• Walmart Inc. (WalMart Pharmacy 10-3050)
• Aurora Christine Walsh, PT, DPT
• Madison Anne Walsh

• Chiropractor in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.