Darin Wallace Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001985A Issued in IN

Legal business name

DARIN WALLACE CHIROPRACTIC, INC.

Practice address

1520 N Main St
Rushville, IN 46173-2105

Phone

(765) 932-5600

Fax

(765) 932-5530

NPI assigned

Sep 26, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Darin Wade Wallace, D.C.NPI 1295775161

Title

Owner

Phone

(765) 932-5600

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darin Wade Wallace, DC

  • Chiropractor
  • Rushville, IN
  • NPI 1295775161
  Medicare reassignment NPD Authorized official
• Jeremy Young

  • Chiropractor
  • New Castle, IN
  • NPI 1881633535
  NPD (past)

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1821371972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 N MAIN ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461732105",
            "telephone_number": "765-932-5600",
            "fax_number": "765-932-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N MAIN ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461732105",
            "telephone_number": "765-932-5600",
            "fax_number": "765-932-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARIN WALLACE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "DARIN",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-932-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001985A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201053650",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Comer
• Caroline Coomer
• Olsen Mark Cottle, DDS
• Taylor Craft
• Raid Daas, M.D.
• Joyce Diane Darnell, CFNP
• Russell Daugherty, M.D.
• Bryan Richard Davidson, PA-C
• Mary Davis
• Eileen Dewire, NP

• All providers in Rushville, IN
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.

Verify at the official NPI Registry.