Wallis Chiropractic Health Center PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008685 Issued in MI

Legal business name

WALLIS CHIROPRACTIC HEALTH CENTER PLLC

Practice address

10985 Middlebelt Rd
Livonia, MI 48150-3056

Phone

(734) 427-3550

Fax

(734) 422-5567

NPI assigned

Dec 6, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Brandon Keith Wallis, D.C.NPI 1528112877

Title

President

Phone

(734) 427-3550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon K Wallis, D.C.

  • Chiropractor
  • Livonia, MI
  • NPI 1528112877
  Medicare reassignment NPD Authorized official
• Joel Q. Hack, D.C.

  • Chiropractor
  • Livonia, MI
  • NPI 1548342793
  NPD (past)
• Katarzyna Ligendza Kruger, DC

  • Chiropractor
  • Ypsilanti, MI
  • NPI 1881736361
  NPD (past)

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1518401801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10985 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503056",
            "telephone_number": "734-427-3550",
            "fax_number": "734-422-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10985 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503056",
            "telephone_number": "734-427-3550",
            "fax_number": "734-422-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLIS CHIROPRACTIC HEALTH CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "WALLIS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-427-3550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deliverance Wallace
• Hailey Wallace
• Lalesia Wallace
• Lequana Wallace
• John Waller, CCP
• Brandon K Wallis, D.C.
• Kyle Wallner, D.C.
• Ayana Marquet Walls, REGISTER NURSE
• Despina Zefiras Walsworth, M.D.
• Walter J. Zetusky, PH.D., P.C.

• Chiropractor in Livonia, MI
• Providers in Livonia, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.