BODYWORKZ
NPI 1053736439
Chiropractor in Mesa, AZ

Active since February 21, 2014
6610 E BASELINE RD, SUITE 103, MESA, AZ 85206(480) 245-4995 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bodyworkz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BODYWORKZ (NPI 1053736439) is a healthcare organization registered as a chiropractor in Mesa, Arizona and active in the NPI registry since February 2014. The organization lists Janeen L Wallace, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1053736439
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWALLACE CHIROPRACTIC, PC
Location Address6610 E BASELINE RD, SUITE 103Mesa, AZ 85206-4440
Mailing Address6610 E Baseline Rd, Suite 103Mesa, AZ 85206-4440 · (480) 245-4995
Organization SubpartNo
Authorized OfficialJaneen L WallaceOwner/physician · (480) 245-4995
Enumeration DateFebruary 21, 2014
Last NPPES UpdateAugust 31, 2022
NPPES CertifiedJuly 29, 2022
✔ NPI 1053736439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AZ · 7558
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
6610 E BASELINE RD, Mesa, AZ 85206

Other Names 1

Doing Business AsBodyworkz

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bodyworkz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20140422000472Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bodyworkz, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1487651147
6610 E BASELINE RD STE 103
Mesa, AZ 85206
(480) 245-4995
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wallace Chiropractic, PC's NPI number?

The NPI number for Wallace Chiropractic, PC is 1053736439. It was assigned to this organization in the NPPES registry on February 21, 2014. The provider is doing business as Bodyworkz.

Where is Wallace Chiropractic, PC located?

Wallace Chiropractic, PC is located at 6610 E Baseline Rd Suite 103, Mesa, AZ 85206. The listed phone number is (480) 245-4995.

What is Wallace Chiropractic, PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Wallace Chiropractic, PC enrolled in Medicare?

Yes. Wallace Chiropractic, PC is registered in the Medicare PECOS enrollment system.

When is Wallace Chiropractic, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Wallace Chiropractic, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Wallace Chiropractic, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wallace Chiropractic, PC was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.