Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DIANN WALLACE D.C.
NPI 1083008148
Chiropractor in Hainesport, NJ

Active since March 26, 2015Accepts Medicare Assignment
1368 ROUTE 38, HAINESPORT, NJ 08036(856) 494-6789(856) 494-6777 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 22, 2026, Jul 2, 2018 (2 updates tracked since 2018).

About Dr. Diann Wallace D.c. NPPES

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

DR. DIANN WALLACE D.C. (NPI 1083008148) is an individual chiropractor in Hainesport, New Jersey, licensed in New Jersey (38MC00536700) and active in the NPI registry since March 2015. She is a graduate of Life Chiropractic College (1998).

NPPES Registry Identity

NPI1083008148
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. DIANN WALLACECredential: D.C.
Location Address1368 ROUTE 38Hainesport, NJ 08036-2722
Mailing Address1368 Route 38Hainesport, NJ 08036-2722 · (856) 494-6789 · Fax (856) 494-6777
Fax(856) 494-6777
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 1998
Enumeration DateMarch 26, 2015
Last NPPES UpdateJuly 22, 20262 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
NPI 1083008148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NJ · 38MC00536700
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.
1368 ROUTE 38, Hainesport, NJ 08036

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Diann Wallace D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113274473
PECOS Enrollment IDI20180718002692

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
655 services43 patients

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 Diann Wallace's NPI number?

The NPI number for Diann Wallace is 1083008148. It was assigned to this individual provider in the NPPES registry on March 26, 2015.

Where is Diann Wallace located?

Diann Wallace practices at 1368 Route 38, Hainesport, NJ 08036. The listed phone number is (856) 494-6789.

What is Diann Wallace's specialty?

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

Is Diann Wallace enrolled in Medicare?

Yes. Diann Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Diann Wallace was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.