Courtney Daniel Walls, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10003 Issued in TX

Practice address

51633 US Highway 69 N
Bullard, TX 75757-5546

Phone

(903) 894-3176

NPI assigned

Dec 4, 2006

Last updated

Apr 5, 2010By the provider in NPPES

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

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bullard Chiropractic

  • Chiropractor
  • Bullard, TX
  • NPI 1669797460
  NPD (past)
• L & L Central Healthcare, P.C.

  dba Central Health and Wellness

  • Chiropractor
  • Arlington, TX
  • NPI 1538376322
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1659449874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51633 US HIGHWAY 69 N",
            "city": "BULLARD",
            "state": "TX",
            "postal_code": "757575546",
            "telephone_number": "903-894-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51633 US HIGHWAY 69 N",
            "city": "BULLARD",
            "state": "TX",
            "postal_code": "757575546",
            "telephone_number": "903-894-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "COURTNEY",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "27-1969833",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Grace Starks, FNP-C
• Richard Y Thorpe III, MD
• Ashleigh Varela, LPC
• Walgreen Co (Walgreens #21505)
• Lana E Walker, FNP
• Kristen Marie-Parys Walls, D.C.
• Jason Whitlow
• Morgan Wyatt, M.S., CCC-SLP
• Jennie Yanling Zheng, MD

• Chiropractor in Bullard, TX
• Providers in Bullard, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.