Active NPI
Wallace Ray Cole, D.C.
- Chiropractor
- Fergus Falls, MN
National Provider Identifier
1790885648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1177
- Practice address
- 109 N Mill St
Fergus Falls, MN 56537-2134 - Phone
- (218) 736-5353
- NPI assigned
- Sep 22, 2006
- Last updated
- Jul 8, 2007
- 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 | 1177 | MN | Primary |
Addresses
Primary practice location
109 N Mill St
Fergus Falls, MN 56537-2134
Mailing address
615 N Union Ave
Fergus Falls, MN 56537-2117
Phone (218) 736-2875
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790885648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 N UNION AVE",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565372117",
"telephone_number": "218-736-2875",
"fax_number": "218-736-5353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 N MILL ST",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565372134",
"telephone_number": "218-736-5353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "WALLACE",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "1177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fergus Falls, MN
- Lindsey Clark, RN
- Kevin Clinton
- Carlene Kay Cloud, NURSE PRACTITIONER
- Deborah Colbeck, LPCC
- Linnea Cole, COTA/L
- Grant Robert Colling, D.D.S.
- Community Addiction Recovery Enterprise Fergus Falls (CARE Fergus Falls)
- Community Behavioral Health Hospital-Fergus Falls (CBHH Fergus Falls)
- Consultant Pharmacists Inc
- Consultant Pharmacists Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.