David G Wallace

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

2501 W 22ND St
Sioux Falls, SD 57105-1305

Phone

(605) 336-3230

NPI assigned

Nov 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Dept of Veteran Affairs

  • Psychiatric Hospital
  • Sioux Falls, SD
  • NPI 1003073917
  Authorized official Same address or phone
• Sioiux Falls VA

  • Psychiatric Hospital
  • Sioux Falls, SD
  • NPI 1790860260
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881773091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24223 SD HIGHWAY 19",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570427406",
            "telephone_number": "605-489-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W 22ND ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051305",
            "telephone_number": "605-336-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "DAVID",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Walker
• Walking to Hope, LLC
• Gretchen Ann Wall, LISW, LICSW
• Kristi Chloe Wall, PSYD
• Caryn M. Wallace, MD
• James W Wallace, MD
• Theresa Marie Wallace, PHARM D
• Bradford George Wallenberg, PHARM.D.
• Megan Wallenberg
• Hope A Wallenstein, RN

• Counselor in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Counselor in South Dakota

• 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.

Verify at the official NPI Registry.