Organization Active NPI

Wallpe Chiropractic Restoration LLC

  • Chiropractor
  • Russell, KS
National Provider Identifier
1336984137
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WALLPE CHIROPRACTIC RESTORATION LLC
Doing business as
Wallpe Chiropractic Restoration LLC
Practice address
129 W 8TH St Ste a
Russell, KS 67665-1961
Phone
(785) 324-2205
NPI assigned
Jun 25, 2024
Last updated
Jun 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Evan Wallpe, DCNPI 1982318853
Title
Owner/Chiropractor
Phone
(785) 324-2205

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

129 W 8TH St Ste a
Russell, KS 67665-1961

Mailing address

1562 E Wichita Ave
Russell, KS 67665-2461
Phone (812) 593-8600

Other practice location 1

1562 E Wichita Ave
Russell, KS 67665-2461
Phone (812) 593-8600

Other names 1

  • Wallpe Chiropractic Restoration LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240906000912 KS Part B Supplier - Clinic/Group Practice 9032659966 Receives reassigned benefits from 1 practitioner
Practice locations: Russell, KS

National Provider Directory

National Provider Directory

Locations

129 W 8th St
Ste 101A
Russell, KS 67665
Phone (785) 324-2205

129 W 8th St
Ste A
Russell, KS 67665
Phone (785) 324-2205

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1336984137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1562 E WICHITA AVE",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676652461",
            "telephone_number": "812-593-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W 8TH ST STE A",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676651961",
            "telephone_number": "785-324-2205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1562 E Wichita Ave",
            "address_purpose": "LOCATION",
            "city": "Russell",
            "state": "KS",
            "postal_code": "676652461",
            "country_code": "US",
            "telephone_number": "812-593-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WALLPE CHIROPRACTIC RESTORATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "WALLPE",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "785-324-2205",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wallpe Chiropractic Restoration LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Russell, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.