Evan Jonathan Wallpe, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-06317 Issued in KS

Practice address

129 W 8TH St Ste 101a
Russell, KS 67665-1962

Phone

(785) 324-2205

NPI assigned

Jan 5, 2023

Last updated

May 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wallpe Chiropractic Restoration LLC

  • Chiropractor
  • Russell, KS
  • NPI 1336984137
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1982318853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1562 E WICHITA AVE",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676652461",
            "telephone_number": "812-593-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W 8TH ST STE 101A",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676651962",
            "telephone_number": "785-324-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLPE",
        "first_name": "EVAN",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-05",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003362A",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-06317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia Sally Valles
• Angelica Van Pelt
• Vintage Place of Russell, Inc.
• Shannon Wagner
• Wallpe Chiropractic Restoration LLC
• Paul D. Wardlaw, MD
• Makala Lea Watring
• Debra Lynn Weidner
• Abbie Renee Weigel, ARNP
• Jodie Rochelle Werth, DDS

• Chiropractor in Russell, KS
• Providers in Russell, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.