Active NPI
Robert Lynn Walls, D.C.
- Chiropractor
- Aledo, TX
National Provider Identifier
1700811684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5494
- Practice address
- 621 N FM 1187
Ste a
Aledo, TX 76008 - Phone
- (817) 333-7875
- Fax
- (817) 622-7691
- NPI assigned
- Jul 11, 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 | 5494 | TX | Primary |
Addresses
Primary practice location
621 N FM 1187
Ste a
Aledo, TX 76008
Mailing address
11755 FM 730 N
Azle, TX 76020-5439
Phone (817) 333-9038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Outpatient Rehab Clinic LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- NPI 1881793982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298332800000",
"number": "1700811684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11755 FM 730 N",
"city": "AZLE",
"state": "TX",
"postal_code": "760205439",
"telephone_number": "817-333-9038",
"fax_number": "817-622-7691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 N FM 1187",
"address_2": "STE A",
"city": "ALEDO",
"state": "TX",
"postal_code": "76008",
"telephone_number": "817-333-7875",
"fax_number": "817-622-7691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLS",
"first_name": "ROBERT",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2011-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "5494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aledo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.