Mary Wallace DC, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

903 Issued in NH

Legal business name

MARY WALLACE DC, PLLC

Practice address

292 State Route 101
Unit K2
Amherst, NH 03031

Phone

(603) 721-2162

NPI assigned

Oct 31, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mary Wallace, DCNPI 1336497460

Title

Owner

Phone

(603) 721-2162

Specialties & licenses 1

Addresses

Other names 2

• Back For More Chiropractic Health and Rehabilitation Center Doing business as
• Mary Clark DC, PLLC Other name

Locations

Practitioners 1

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

• Mary Wallace, D.C.

  • Chiropractor
  • Amherst, NH
  • NPI 1336497460
  NPD Authorized official

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1871847749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 LUNA BELLA LANE",
            "address_2": "APT 230",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "32168",
            "telephone_number": "603-721-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 STATE ROUTE 101",
            "address_2": "UNIT K2",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "03031",
            "telephone_number": "603-721-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY WALLACE DC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-31",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-721-2162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back For More Chiropractic Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mary Clark DC, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Susan Mann
• Mariah Mansur, BCBA
• David Marshall, LICSW
• Michael Bruce Marshall, M.D.
• Marci Martel, LCMHC
• Cylvia Masoni
• James Christopher McAveeney, DMD
• Shannon T McClure
• Alyson McCullough, FNP, APRN
• Erin McDavitt, PT

• Chiropractor in Amherst, NH
• Providers in Amherst, NH by specialty
• Chiropractor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.