Wall Chiropractic, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WALL CHIROPRACTIC, LLC

Practice address

5 Caliente Rd
Ste 2B
Santa Fe, NM 87508-9100

Phone

(505) 466-1429

Fax

(505) 466-1437

NPI assigned

Nov 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lise S Wall, D.C.

Title

Owner

Phone

(505) 466-1429

Specialties & licenses 1

Addresses

Other names 1

• Wall Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1962684977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CALIENTE RD",
            "address_2": "STE 2B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875089100",
            "telephone_number": "505-466-1429",
            "fax_number": "505-466-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALIENTE RD",
            "address_2": "STE 2B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875089100",
            "telephone_number": "505-466-1429",
            "fax_number": "505-466-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALL CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "LISE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-466-1429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wall Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joah Walker
• Kari Walker
• Melinda Lee Walker, LPCC
• Nina Marie Walker
• Stephen Curtis Walker, OD
• Kathryn Wall Ganz
• Lise S Wall, D.C.
• Braden Jacob Wallace, PHARMD
• Helen Timmie Wallace, PT
• Josephine Wallace

• Clinic/Center in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.