DR. WALLACE C WADE D.C.
NPI 1306855663
Chiropractor in Tampa, FL

Active since August 05, 2006
12084 ANDERSON RD, TAMPA, FL 33625(813) 265-4135(813) 265-3904 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Wallace C Wade D.c. NPPES

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

DR. WALLACE C WADE D.C. (NPI 1306855663) is an individual chiropractor in Tampa, Florida, licensed in Florida (CH4075) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1306855663
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. WALLACE C WADECredential: D.C.
Location Address12084 ANDERSON RDTampa, FL 33625-5682
Mailing Address12084 Anderson RdTampa, FL 33625-5682 · (813) 265-4135 · Fax (813) 265-3904
Fax(813) 265-3904
Sole ProprietorYes
Enumeration DateAugust 5, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1306855663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in FL · CH4075
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.
12084 ANDERSON RD, Tampa, FL 33625

Other Identifiers 3

Medicare UPINT56008FL
Medicare ID-Type Unspecified88878FL
OtherCH4075FL · State License

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 Wade's NPI number?

The NPI number for Wallace Wade is 1306855663. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Wallace Wade located?

Wallace Wade practices at 12084 Anderson Rd, Tampa, FL 33625. The listed phone number is (813) 265-4135.

What is Wallace Wade'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 Wade was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.