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DR. PHILIP WALL DC
NPI 1366259657
Chiropractor in Wasilla, AK

Active since December 11, 2024
1830 E PARKS HWY STE A135, WASILLA, AK 99654(907) 373-5054 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Philip Wall Dc NPPES

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

DR. PHILIP WALL DC (NPI 1366259657) is an individual chiropractor in Wasilla, Alaska, licensed in Alaska (231597) and active in the NPI registry since December 2024. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1366259657
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. PHILIP WALLCredential: DC
Location Address1830 E PARKS HWY STE A135Wasilla, AK 99654-7378
Mailing Address1150 S Colony Way Ste 3-226Palmer, AK 99645-6967
Phone(907) 373-5054
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 11, 2024
NPPES CertifiedDecember 11, 2024
✔ NPI 1366259657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AK · 231597
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.
1830 E PARKS HWY STE A135, Wasilla, AK 99654
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Philip Wall Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355839689
PECOS Enrollment IDI20251020001684

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 Philip Wall's NPI number?

The NPI number for Philip Wall is 1366259657. It was assigned to this individual provider in the NPPES registry on December 11, 2024.

Where is Philip Wall located?

Philip Wall practices at 1830 E Parks Hwy Ste A135, Wasilla, AK 99654. The listed phone number is (907) 373-5054.

What is Philip Wall's specialty?

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

Is Philip Wall enrolled in Medicare?

Yes. Philip Wall is registered in the Medicare PECOS enrollment system.

What insurance does Philip Wall accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Philip Wall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Philip Wall was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.