James Thomas Wallace, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3044 Issued in OR

Practice address

1190 Cross St SE
Salem, OR 97302-2924

Phone

(503) 581-1801

Fax

(503) 485-4320

NPI assigned

Oct 14, 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 OR

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Capitol Chiropractic

  • Chiropractor
  • Salem, OR
  • NPI 1326493008
  NPD (past) Authorized official
• Bailey Chiropractic and Rehabilitation Center LLC

  • Chiropractor
  • Salem, OR
  • NPI 1093143638
  NPD (past)

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500336000000",
    "number": "1487744751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 CROSS ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022924",
            "telephone_number": "503-581-1801",
            "fax_number": "503-485-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 CROSS ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022924",
            "telephone_number": "503-581-1801",
            "fax_number": "503-485-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "JAMES",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-14",
        "last_updated": "2017-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500632532",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rose Walker
• Tiffany Walker, NP
• Josie Mirth Wall
• Kayleen R Wall, HIS
• Bethany Wallace, LCSW
• Natalie Erin Wallace, DO
• Crystal Walling
• Mara Marie Walls, B.S.
• Walmart Inc.
• Walmart Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; 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.