Kory Wahl, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH15644 Issued in FL

Practice address

5711 Gulf Dr
New Port Richey, FL 34652-4018

Phone

(727) 807-7851

NPI assigned

Apr 7, 2026

Last updated

Apr 7, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sea Grace Chiropractic PLLC

  • Chiropractor
  • New Port Richey, FL
  • NPI 1215871462
  NPD Authorized official
• Seagate Chiropractic LLC

  • Chiropractor
  • Tampa, FL
  • NPI 1568879641
  NPD (past)

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

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1609718816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16766 COURTYARD LOOP",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346383572",
            "telephone_number": "204-799-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 GULF DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524018",
            "telephone_number": "727-807-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHL",
        "first_name": "KORY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH15644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Von Zangenberg
• Voorhees Road Opco LLC
• Sanjay Vora
• Srividya Vulugundam
• Michel Randolph Peter Wagner, MD
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0994)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2391)
• Wal-Mart Stores East, LP (Vision Center 30-0994)
• Walgreen Co (Walgreens #05857)
• Walgreen Co (Walgreens #06886)

• Chiropractor in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.