Active NPI
Randell Wayne Walling, D.C.
- Chiropractor
- Arlington, TX
National Provider Identifier
1578577458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2707
- Practice address
- 1806 East Abram
Arlington, TX 76010-1301 - Phone
- (817) 275-3442
- Fax
- (817) 275-8029
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2707 | TX | Primary |
Addresses
Primary practice location
1806 East Abram
Arlington, TX 76010-1301
Mailing address
1806 East Abram
Arlington, TX 76010-1301
Phone (817) 275-3442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101115001238 | TX | Practitioner - Chiropractic | 2264627363 | Practice locations: Arlington, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2707 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194998400000",
"number": "1578577458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1806 EAST ABRAM",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760101301",
"telephone_number": "817-275-3442",
"fax_number": "817-275-8029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1806 EAST ABRAM",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760101301",
"telephone_number": "817-275-3442",
"fax_number": "817-275-8029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLING",
"first_name": "RANDELL",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2007-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "2707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.