Kevin Ray Wall, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4705 Issued in AZ

Practice address

3011 S Lindsay Rd Ste 101
Gilbert, AZ 85295-4333

Phone

(480) 726-2500

Fax

(480) 726-2131

NPI assigned

Sep 30, 2005

Sex

Male

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

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.

• San Tan Mountain Chiropractic and Rehab, LLC

  • Chiropractor
  • San Tan Valley, AZ
  • NPI 1962651000
  NPD (past) Authorized official
• American Family Chiropractic & Rehab at Desert Ridge, LLC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1538469234
  NPD (past)
• American Family Chiropractic & Rehab of Queen Creek, LLC

  • Chiropractor
  • San Tan Valley, AZ
  • NPI 1982854972
  NPD (past)
• Glendale Springs Chiropractic and Rehab, LLC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1043469182
  NPD (past)
• Natural Life Centers, LTD.

  • Chiropractor
  • Avondale, AZ
  • NPI 1659413979
  NPD (past)
• Wellness Associates, PLLC

  • Chiropractor
  • Mesa, AZ
  • NPI 1972633154
  NPD (past)

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1932196367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 S ALMA SCHOOL RD STE 354",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103028",
            "telephone_number": "480-726-2287",
            "fax_number": "888-316-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 S LINDSAY RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852954333",
            "telephone_number": "480-726-2500",
            "fax_number": "480-726-2131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15256 N 75th Ave Ste 360",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814761",
            "country_code": "US",
            "telephone_number": "623-486-2424",
            "fax_number": "623-486-4324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "270 E Hunt Hwy Ste A-2",
            "address_purpose": "LOCATION",
            "city": "San Tan Valley",
            "state": "AZ",
            "postal_code": "851434962",
            "country_code": "US",
            "telephone_number": "480-882-2222",
            "fax_number": "480-882-2220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2145 E Warner Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852843549",
            "country_code": "US",
            "telephone_number": "480-664-9443",
            "fax_number": "480-664-9378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2919 S Ellsworth Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852122165",
            "country_code": "US",
            "telephone_number": "480-564-1185",
            "fax_number": "480-590-4375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14239 W Bell Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853742470",
            "country_code": "US",
            "telephone_number": "623-248-4283",
            "fax_number": "623-440-4255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1277 E Missouri Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850142916",
            "country_code": "US",
            "telephone_number": "602-296-4060",
            "fax_number": "602-296-4146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20860 N Tatum Blvd Ste 290",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850504282",
            "country_code": "US",
            "telephone_number": "480-563-1144",
            "fax_number": "480-563-2371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3130 E Baseline Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852047290",
            "country_code": "US",
            "telephone_number": "480-345-1980",
            "fax_number": "480-926-1721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALL",
        "first_name": "KEVIN",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Edwards Walker
• Michael Walker, PHARMD
• Stacey Lee Walker, R.D.H.
• Suzanne Renee Walker, LCSW, LISW
• Mariah Walkington, RN
• Jennifer Wallace, M.D.
• Keith Wallace
• Waller Systems, LLC
• Morgan Wallis, LAC
• Walmart Inc.

• Chiropractor in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.