Wallace Haden Hays, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

929 Issued in AR

Practice address

3111 Jenny Lind Rd
Fort Smith, AR 72901-6738

Phone

(479) 783-0779

Fax

(479) 782-6442

NPI assigned

Apr 5, 2006

Last updated

Aug 14, 2023By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Wallace Hays Family Chiropractic Clinic, PA

  • Medical Specialty Clinic/Center
  • Fort Smith, AR
  • NPI 1891084471
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1992767875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 JENNY LIND RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729016738",
            "telephone_number": "479-783-0779",
            "fax_number": "479-782-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 JENNY LIND RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729016738",
            "telephone_number": "479-783-0779",
            "fax_number": "479-782-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYS",
        "first_name": "WALLACE",
        "middle_name": "HADEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "1841",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "5F180",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kearston Nacol Hayes
• Sherry Hayes
• Trina D Hayes, PTA
• William Justin Hayes, M.D.
• Lori Haynes, QBHP
• Healing Tree, LLC
• Health Depot Pharmacies, LLC (Health Depot #1)
• Health Depot Pharmacies, LLC (Health Depot)
• Health Depot Pharmacies, LLC
• Healthmax Center LLC

• Chiropractor in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.