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WALLACE CHIROPRACTIC & NUTRITION CLINIC
NPI 1063617918
Chiropractor in Overland Park, KS

Active since June 20, 2007
9337 W 75TH ST, OVERLAND PARK, KS 66204(913) 722-3200 Get Directions Write a Review

NPPES record last updated: September 10, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wallace Chiropractic & Nutrition Clinic NPPES

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

WALLACE CHIROPRACTIC & NUTRITION CLINIC (NPI 1063617918) is a healthcare organization registered as a chiropractor in Overland Park, Kansas and active in the NPI registry since June 2007. The organization lists Mark Richard Wallace, Business Owner Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1063617918
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWALLACE CHIROPRACTIC & NUTRITION CLINIC
Location Address9337 W 75TH STOverland Park, KS 66204
Mailing Address9337 W 75th StOverland Park, KS 66204 · (913) 722-3200 · Fax (913) 432-8392
Phone(913) 722-3200
Organization SubpartNo
Authorized OfficialMark Richard WallaceBusiness Owner Chiropractor · (913) 722-3200
Enumeration DateJune 20, 2007
Last NPPES UpdateSeptember 10, 2008
✔ NPI 1063617918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in KS · 04348✔ Licensed in MO · 6478
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.
9337 W 75TH ST, Overland Park, KS 66204
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Other Identifiers 2

Medicare ID-Type Unspecified000B132
Medicare PINKA1154KS

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BENJAMIN ALLAN HENNING D.C.
Chiropractor
9337 W 75TH ST
OVERLAND PARK, KS 66204
Johnson County (913) 424-3811
MARK RICHARD WALLACE DC
Chiropractor
9337 W 75TH ST
OVERLAND PARK, KS 66204
Johnson County (913) 722-3200

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 & Nutrition Clinic's NPI number?

The NPI number for Wallace Chiropractic & Nutrition Clinic is 1063617918. It was assigned to this organization in the NPPES registry on June 20, 2007.

Where is Wallace Chiropractic & Nutrition Clinic located?

Wallace Chiropractic & Nutrition Clinic is located at 9337 W 75th St, Overland Park, KS 66204. The listed phone number is (913) 722-3200.

What is Wallace Chiropractic & Nutrition Clinic's specialty?

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

When was this NPI record last updated?

The NPPES record for Wallace Chiropractic & Nutrition Clinic was last updated on September 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.