Individual provider Active NPI

Wendi Cheree Wallin, DC

  • Chiropractor
  • Las Cruces, NM
National Provider Identifier
1356383848
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1617 Issued in NM
Practice address
3961 E Lohman Ave
Ste 22
Las Cruces, NM 88011-8269
Phone
(575) 652-3358
Fax
(575) 652-3360
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1617 NM Primary

Addresses

Primary practice location

3961 E Lohman Ave
Ste 22
Las Cruces, NM 88011-8269

Mailing address

3961 E Lohman Ave
Ste 22
Las Cruces, NM 88011-8269
Phone (575) 652-3358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1617NMMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Precure Investments LLC Chiropractor CurrentSince Mar 1, 2019 Accepting new patients
Clovis Chiropractic & Healthcare Center PA Past Accepting new patients

Locations

3961 E Lohman Ave
Ste 22
Las Cruces, NM 88011
Phone (575) 652-3358

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1356383848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3961 E LOHMAN AVE",
            "address_2": "STE 22",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118269",
            "telephone_number": "575-652-3358",
            "fax_number": "575-652-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3961 E LOHMAN AVE",
            "address_2": "STE 22",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118269",
            "telephone_number": "575-652-3358",
            "fax_number": "575-652-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLIN",
        "first_name": "WENDI",
        "middle_name": "CHEREE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.