ROGER D WALLIS DCPC
NPI 1083894489
Chiropractor in Fort Lupton, CO

Q: What is Roger D Wallis Dcpc's NPI number?

The NPI number for Roger D Wallis Dcpc is 1083894489. It was assigned to this organization in the NPPES registry on November 14, 2007.

Q: What is Roger D Wallis Dcpc's specialty?

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

Active since November 14, 2007

419 DENVER AVE, FORT LUPTON, CO 80621(303) 857-6344(303) 857-6250 Get Directions Write a Review

NPPES record last updated: July 26, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Roger D Wallis Dcpc NPPES

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

ROGER D WALLIS DCPC (NPI 1083894489) is a healthcare organization registered as a chiropractor in Fort Lupton, Colorado and active in the NPI registry since November 2007. The organization lists Roger Dale Wallis, President, as its authorized official.

NPPES Registry Identity

NPI1083894489

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameROGER D WALLIS DCPC

Location Address419 DENVER AVEFort Lupton, CO 80621-1823

Mailing Address419 Denver AveFort Lupton, CO 80621-1823 · (303) 857-6344 · Fax (303) 857-6250

Phone(303) 857-6344

Fax(303) 857-6250

Organization SubpartNo

Authorized OfficialRoger Dale WallisPresident · (303) 857-6344

Enumeration DateNovember 14, 2007

Last NPPES UpdateJuly 26, 2012

✔ NPI 1083894489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CO · 1509

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.

419 DENVER AVE, Fort Lupton, CO 80621

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Other Identifiers 1

Medicare PINC491938CO

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

Other Providers at the Same Location NPPES

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

DR. ROGER D. WALLIS P.C.

Chiropractor

419 DENVER AVE
FORT LUPTON, CO 80621

Weld County (303) 857-6344

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 Roger D Wallis Dcpc's NPI number?

The NPI number for Roger D Wallis Dcpc is 1083894489. It was assigned to this organization in the NPPES registry on November 14, 2007.

Where is Roger D Wallis Dcpc located?

Roger D Wallis Dcpc is located at 419 Denver Ave, Fort Lupton, CO 80621. The listed phone number is (303) 857-6344.

What is Roger D Wallis Dcpc'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 Roger D Wallis Dcpc was last updated on July 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.